ADAPT OF ILLINOIS, INC. (NPI# 1164714721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164714721 |
| Entity Type | Organization |
| Organization Name | ADAPT OF ILLINOIS, INC. |
| Practice Address |
2600 West Blvd Belleville IL 62221-5605 |
| Mailing Address |
105 W Madison St Ste 1600 Chicago IL 60602-4652 |
| Practice Telephone | 8775539440 |
| Practice Fax Number | 3125539441 |
| Mailing Telephone | 8445539440 |
| Mailing Fax Number | 3125539441 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | CYNTHIA JANICAK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8775539440 |
| Authorized Official Credential | MS |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAPT OF AMERICA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 04003 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780935965 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 220 S 17th St, Belleville, IL 62226-7628 | 2012-09-27 |
| 1013209675 | Adapt of Illinois, Inc. | Community/Behavioral Health | 614 Summit Ave, Collinsville, IL 62234-3728 | 2011-05-13 |
| 1346532900 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 517 Catawba Ave, Swansea, IL 62226-1659 | 2011-05-13 |
| 1720370489 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 20 N 9th St, Belleville, IL 62220-1150 | 2011-05-12 |
| 1548321250 | Adapt of Illinois, Inc. | Community/Behavioral Health | 105 W Madison St, Suite 800, Chicago, IL 60602-4602 | 2006-12-13 |
| 1174815732 | Adapt of Illinois, Inc. | Community/Behavioral Health | 5838 N Sheridan Rd, Chicago, IL 60660-4916 | 2011-05-13 |
| 1811289473 | Adapt of Illinois, Inc. | Community/Behavioral Health | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2011-05-13 |
| 1366734923 | Adapt of Illinois, Inc. | Community/Behavioral Health | 430 S Front St, Cobden, IL 62920-2415 | 2011-05-13 |
| 1356633911 | Adapt of Illinois, Inc. | Community/Behavioral Health | 310 Banbury Rd, North Aurora, IL 60542-1260 | 2011-05-13 |
| 1629360284 | Adapt of Illinois, Inc. | Community/Behavioral Health | 321 Arnold Ave, Rockford, IL 61108-2315 | 2011-05-13 |
| Street Address |
2600 WEST BLVD |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245300680 | Vip Healthcare Professionals, LLC | Home Health | 2600 West Blvd, Colonial Square Office Park, Belleville, IL 62221-5605 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964870 | Group Interventions | Community/Behavioral Health | 6600 W Main St Ste 4b, Belleville, IL 62223-3037 | 2020-02-21 |
| 1619401171 | Kd&u Services LLC | Community/Behavioral Health | 14 Crescent Ter, Belleville, NJ 07109-2064 | 2017-04-11 |
| 1316385990 | The Ease Program | Community/Behavioral Health | 2900 Frank Scott Pkwy W Ste 956, Belleville, IL 62223-5000 | 2013-06-05 |
| 1295059988 | Children's Home and Aid | Community/Behavioral Health | 120 E A St, Belleville, IL 62220-1401 | 2010-03-24 |
| 1386892818 | Gateway Foundation, Inc. | Community/Behavioral Health | 7 N High St, Belleville, IL 62220-1435 | 2008-09-09 |
| 1154399780 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 West Main Street Suite 201, Belleville, IL 62226-1719 | 2006-03-09 |
| 1942749429 | Northwest Essex Community Healthcare | Community/Behavioral Health | 570 Belleville Ave, Belleville, NJ 07109-1308 | 2017-02-17 |
| 1780036418 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-07-06 |
| 1114385507 | Treatment Alternatives for Safe Communilties | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-02-01 |
| 1295107563 | Professional Supportive Solution Therapy | Community/Behavioral Health | 6400 W Main St, Belleville, IL 62223-3806 | 2015-10-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.