PAVILION FOUNDATION (NPI# 1518930619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518930619 |
| Entity Type | Organization |
| Organization Name | PAVILION FOUNDATION |
| Practice Address |
809 W Church St Champaign IL 61820-3320 |
| Practice Telephone | 2173731700 |
| Mailing Telephone | 2173731700 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | STEVE FILTON (CFO/SR VP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 0004689 | IL | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PAVILION FOUNDATION, THE | 809 W Church St, Champaign, IL 61820-3320 |
| Street Address |
809 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055608 | Pavilion Foundation Pharmacy | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2015-10-19 |
| 1538490172 | Staci Lee Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2010-01-21 |
| 1093948440 | Robert J Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2009-09-02 |
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| 1326258864 | L. Jane Wilson | Marriage & Family Therapist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1255541496 | Sandra Dixon | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1487873915 | Peter Erickson | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2007-04-24 |
| 1316093453 | Janet Wipfli | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055608 | Pavilion Foundation Pharmacy | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1821491960 | Latoya Bragg-finch | Psychiatric Hospital | 6302 Dolores Dr, Oak Forest, IL 60452-2718 | 2014-10-03 |
| 1790197978 | Aurora Chicago Lakeshore Hospital, LLC | Psychiatric Hospital | 4720 Clarendon Road, Chicago, IL 60640-7860 | 2014-05-22 |
| 1336475003 | R A Clinic for Psychiatric Care LLC | Psychiatric Hospital | 3147 Treesdale Ct, Naperville, IL 60564-4609 | 2009-10-30 |
| 1437315017 | Northwestern Memorial Hospital | Psychiatric Hospital | 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 | 2008-08-01 |
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1609072313 | Mount Sinai Community Foundation | Psychiatric Hospital | 2040 W Washington Blvd, Chicago, IL 60612-2429 | 2007-06-21 |
| 1417070137 | Elmhurst Memorial Guidance Services | Psychiatric Hospital | 183 North York Road, Elmhurst, IL 60126 | 2007-04-09 |
| 1013017839 | Alexian Brothers Behavioral Health Hospital | Psychiatric Hospital | 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 | 2006-09-22 |
| 1659338168 | Aurora Chicago Lakeshore Hospital LLC | Psychiatric Hospital | 4840 N Marine Dr, Chicago, IL 60640-7860 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
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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.