THE RESILIENCY CENTER INC (NPI# 1740712504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740712504 |
Entity Type | Organization |
Organization Name | THE RESILIENCY CENTER INC |
Practice Address |
3233 Mathers Rd Suite C Springfield IL 62711-7936 |
Practice Telephone | 2176790356 |
Practice Fax Number | 2176701688 |
Mailing Telephone | 2176790356 |
Mailing Fax Number | 2176701688 |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-03-31 |
Authorized Official Name | MRS. PEGGY BOLINGER RAABE (PRESIDENT/THERAPIST) |
Authorized Official Telephone | 2176790356 |
Authorized Official Credential | MS,LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 180001720 | IL | Agencies |
Street Address |
3233 MATHERS RD SUITE C |
City | SPRINGFIELD |
State | IL |
Zip Code | 62711-7936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
Find all providers in zip 62711 |
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 |
---|---|---|---|---|
1518500107 | Radame Antonio Jusino | Community/Behavioral Health | 6 Loretta St, Springfield, MA 01118-1045 | 2019-10-25 |
1639710577 | Southeast Wellness Works | Community/Behavioral Health | 189 E 9th Ave, Springfield, CO 81073-1601 | 2019-10-02 |
1083260798 | Rite Care Home Health Services, LLC | Community/Behavioral Health | 9420 Park Hunt Ct, Springfield, VA 22153-1351 | 2019-08-18 |
1972159770 | Dr. Wadeson, LLC | Community/Behavioral Health | 5133 S Campbell Ave Ste 204, Springfield, MO 65810-2437 | 2019-08-16 |
1407408081 | Treasure of Hope Florida Inc | Community/Behavioral Health | 44 Edgewood St, Springfield, MA 01109-3025 | 2019-07-12 |
1013577642 | Latino Counseling Center, Inc | Community/Behavioral Health | 125 Liberty St Ste 100, Springfield, MA 01103-1109 | 2019-06-17 |
1871157768 | Able Autism Care LLC | Community/Behavioral Health | 54 Bissell St, Springfield, MA 01119-1451 | 2019-04-25 |
1528535770 | Tenea Claudette Davis | Community/Behavioral Health | 122 Chestnut St, Springfield, MA 01103-1538 | 2018-10-25 |
1982195707 | Asra Mir | Community/Behavioral Health | 140 High St Ste 2, Springfield, MA 01105-1442 | 2018-05-29 |
1558895375 | Legacy Counseling LLC | Community/Behavioral Health | 6564 Loisdale Ct Ste 600, Springfield, VA 22150-1829 | 2017-04-18 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62711 |
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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.