Organization Active NPI

Applied Medical and Performance Solutions Inc

  • Community/Behavioral Health Agency
  • Carrollton, IL
National Provider Identifier
1942969332
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
APPLIED MEDICAL AND PERFORMANCE SOLUTIONS INC
Practice address
306 5TH St
Carrollton, IL 62016-1325
Phone
(217) 942-6272
NPI assigned
Dec 13, 2021
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Clara Hamel, LCSW
Title
Owner
Phone
(217) 942-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

306 5TH St
Carrollton, IL 62016-1325

Mailing address

306 5TH St
Carrollton, IL 62016-1325
Phone (217) 942-6272

National Provider Directory

National Provider Directory

Locations

425 N Main St
Carrollton, IL 62016
Phone (217) 942-6272

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1942969332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161325",
            "telephone_number": "217-942-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161325",
            "telephone_number": "217-942-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED MEDICAL AND PERFORMANCE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-942-6272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.