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
Organization subpart
No

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

306 5TH St
Carrollton, IL 62016-1325

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2022.

{
    "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.