Active NPI
Special Children, Inc.
- Early Intervention Provider Agency
- Belleville, IL
National Provider Identifier
1972553709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- SPECIAL CHILDREN, INC.
- Practice address
- 1306 Wabash Ave
Belleville, IL 62220-3370 - Phone
- (618) 234-6876
- Fax
- (618) 234-6150
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hill
- Title
- Controller
- Phone
- (618) 234-6876
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Physical Therapist | 225100000X | IL | ||
| Physical Therapist | 225100000X | IL | ||
| Speech-Language Pathologist | 235Z00000X | IL | ||
| Speech-Language Pathologist | 235Z00000X | IL |
Addresses
Primary practice location
1306 Wabash Ave
Belleville, IL 62220-3370
Mailing address
1306 Wabash Ave
Belleville, IL 62220-3370
Phone (618) 234-6876
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321648226001 | Medicaid | IL | |
| 347721087001 | Medicaid | IL | |
| 495608727001 | Medicaid | IL | |
| 321502460001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
1306 Wabash Ave
Belleville, IL 62220
Phone (618) 234-6876
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Belleville, IL
- NPI 1629137138
-
- Developmental Therapist
- Belleville, IL
- NPI 1356669493
-
- Physical Therapist
- Belleville, IL
- NPI 1033211412
-
- Developmental Therapist
- Belleville, IL
- NPI 1366544983
-
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Belleville, IL
- NPI 1184783607
-
- Developmental Therapist
- Belleville, IL
- NPI 1417268053
-
- Developmental Therapist
- Belleville, IL
- NPI 1740452010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1972553709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 WABASH AVE",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622203370",
"telephone_number": "618-234-6876",
"fax_number": "618-234-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 WABASH AVE",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622203370",
"telephone_number": "618-234-6876",
"fax_number": "618-234-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL CHILDREN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "618-234-6876"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321648226001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347721087001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495608727001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321502460001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.