MR. MATTHEW THOMAS BECKER (NPI# 1457661571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457661571 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW THOMAS BECKER |
| Credential | B.A. |
| Practice Address |
1126 Healthcare Dr Mount Carroll IL 61053-1469 |
| Mailing Address |
616 Palmyra St Dixon IL 61021-1956 |
| Practice Telephone | 1845244200 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1205905403 | Matthew J. Becker | Dentist | 16920 Wright Plz Ste 106, Omaha, NE 68130-4660 | 2006-11-06 |
| 1336708981 | Matthew John Becker | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242 | 2019-06-07 |
| 1588111827 | Matthew Becker | Counselor | 3055 Austin Bluffs Pkwy, Colorado Springs, CO 80918-5748 | 2016-09-02 |
| 1841639457 | Matthew J Becker | Physician Assistant | 7250 Clearvista Dr, Ste 355, Indianapolis, IN 46256-4692 | 2013-06-17 |
| 1679817704 | Matthew Christopher Becker | Internal Medicine | 1003 Providence Dr, Suite 110, Newberg, OR 97132-7521 | 2012-11-15 |
| 1598932550 | Matthew Charles Becker | Internal Medicine | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2008-05-09 |
| 1497822373 | Matthew A. Becker | Psychiatry & Neurology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-11-29 |
| 1982798245 | Matthew J Becker | Anesthesiology | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-03 |
| Street Address |
1126 HEALTHCARE DR |
| City | MOUNT CARROLL |
| State | IL |
| Zip Code | 61053-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699893909 | Tymi Lynn Currens | Counselor | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2007-03-26 |
| 1104447754 | Dana J Mackenzie | Social Worker | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2020-05-05 |
| 1225529332 | Michelle L Polizzi | Social Worker | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2018-05-24 |
| 1124548136 | Brittany Mackey | Counselor | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2017-06-21 |
| 1154798684 | Desirae Patrick | Counselor | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2015-09-01 |
| 1235529397 | Jesse Bashaw | Social Worker | 1126 Healthcare Dr, Mount Carroll, IL 61058-1469 | 2015-01-28 |
| 1548697824 | Sharon Kay Chadwick | Counselor | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2013-10-02 |
| 1043651797 | Michelle Leigh Jensen | Counselor | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2013-07-10 |
| 1356629133 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2011-07-28 |
| 1386953800 | Jeremy Caleb Bleuer | Social Worker | 1126 Healthcare Dr, Mount Carroll, IL 61053-1469 | 2010-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700321452 | Holly M Koser | Social Worker | 1126 Healthcare Drive, Mt Carroll, IL 61053 | 2017-01-04 |
| 1932383734 | Deyo Chiropractic Center Ltd | Clinic/Center | 702 S East St, Mount Carroll, IL 61053 | 2007-12-28 |
| 1316590649 | Amy Wiltshire | Social Worker | 1122 Healthcare Dr, Mt Carroll, IL 61053 | 2019-07-16 |
| 1538582382 | Sharshon Pharmacy, Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053 | 2014-01-30 |
| 1396802336 | Ronald Adrian Deyo | Chiropractor | 18158 Il Rt 40 South, Mt Carroll, IL 61053-0147 | 2007-01-02 |
| 1598760902 | Pharmacy Center Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053-1031 | 2005-06-14 |
| 1467547109 | John Allan Hutchison | Pharmacist | 101 W Market St, Mount Carroll, IL 61053-1031 | 2006-10-04 |
| 1558759407 | Karri Kloepping | Physician Assistant | 106 E Market St, Mount Carroll, IL 61053-1108 | 2014-12-30 |
| 1952463705 | County of Carroll | Clinic/Center | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2006-12-15 |
| 1962837195 | Kathleen Allen | Registered Nurse | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2013-09-06 |
| Find all providers in zip 61053 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARROLL |
| Zip Code | 61053 |
Please comment or provide details below to improve the information on MR. MATTHEW THOMAS BECKER.
| 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.