NPIMap

Organization Active NPI

HRC Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Superior, WI
National Provider Identifier
1922073121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HRC MENTAL HEALTH CENTER
Practice address
39 N 25TH St E
Superior, WI 54880-5269
Phone
(715) 392-8216
Fax
(715) 392-6055
NPI assigned
Feb 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Engelson
Title
Program Director
Phone
(715) 392-8216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

39 N 25TH St E
Superior, WI 54880-5269

Mailing address

39 N 25TH St E
Superior, WI 54880-5269
Phone (715) 392-8216

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922073121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N 25TH ST E",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805269",
            "telephone_number": "715-392-8216",
            "fax_number": "715-392-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N 25TH ST E",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805269",
            "telephone_number": "715-392-8216",
            "fax_number": "715-392-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRC MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGELSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "715-392-8216"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.