CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES (NPI# 1609091388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609091388 |
| Entity Type | Organization |
| Organization Name | CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1701 Technology Drive Ne Willmar MN 56201 |
| Practice Telephone | 3202143361 |
| Practice Fax Number | 3202315901 |
| Mailing Telephone | 3202143361 |
| Mailing Fax Number | 3202315901 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHELE KAY BUTLER-FLUTH (THERAPIST) |
| Authorized Official Telephone | 3202143361 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
334466 | MN | Hospitals |
| Street Address |
1701 TECHNOLOGY DRIVE NE |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235260993 | Prairie St. Johns | General Acute Care Hospital | 11610 Wayzata Blvd, Minnetonka, MN 55305-2009 | 2007-03-07 |
| 1497027593 | Kenneth Fred Swaiman | General Acute Care Hospital | 1821 University Ave W, N-188, Saint Paul, MN 55104-2801 | 2012-02-03 |
| 1922315811 | Minneapolis Childrens Hospital | General Acute Care Hospital | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-09-13 |
| 1114230943 | Emilie Goodyear | General Acute Care Hospital | 420 Delaware St Se, Mmc 493, Minneapolis, MN 55455-0341 | 2010-07-21 |
| 1740325885 | Gillette Childrens Specialty Healthcare | General Acute Care Hospital | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-02-20 |
| 1871636522 | Shriners Hospitals for Children | General Acute Care Hospital | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-02-14 |
| 1881793750 | Childrens Health Care | General Acute Care Hospital | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
Please comment or provide details below to improve the information on CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES.
| 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.