Mineral Area Community Psychiatric Rehabilitation Center, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2162 Issued in MO

Legal business name

MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC.

Practice address

560 W Pine St
Farmington, MO 63640-1426

Phone

(573) 756-2899

Fax

(573) 756-4105

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vicky L Winick, LMSW

Title

President Executive Director

Phone

(573) 756-2899

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1902251507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W PINE ST",
            "address_2": "P O BOX 510",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-756-2899",
            "fax_number": "573-756-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-756-2899",
            "fax_number": "573-756-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "WINICK",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-756-2899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": "2162",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MO",
            "license": "2162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth L Miller, MD
• Madison June Miller, DC
• Keri Mills
• Brandin Lynn Milne-Gamm, BS CSS
• Mineral Area Community Psychiatric Rehabilitation Center, Inc.
• Mineral Area Health Services, Inc (Mineral Area Pharmacy-DME)
• Mineral Area Laboratories LLC
• Mineral Area Massage LLC (Mineral Area Massage)
• Mineral Area Osteopathic Hospital Inc (Mineral Area Regional Medical Center)
• Mineral Area Pain Center, P.C.

• Adult Mental Health Clinic/Center in Farmington, MO
• Providers in Farmington, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.