ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1891227575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891227575 |
| Entity Type | Organization |
| Organization Name | ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
12200 104th St Coal Valley IL 61240-9712 |
| Mailing Address |
Po Box 5078 Rock Island IL 61204-5078 |
| Practice Telephone | 3097997044 |
| Mailing Telephone | 3097792031 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | MR. JOSEPH PROVATEARE (DIRECTOR SUPPORT SERVICES) |
| Authorized Official Telephone | 3097792022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196281 | Robert Young Center for Community Mental Health | Clinic/Center | 3100 7th St, East Moline, IL 61244-3262 | 2017-03-31 |
| 1093201410 | Robert Young Center for Community Mental Health | Clinic/Center | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-07-09 |
| 1609360163 | Robert Young Center for Community Mental Health | Counselor | 4230 11th St, Rock Island, IL 61201-6746 | 2018-06-19 |
| 1811481450 | Robert Young Center for Community Mental Health | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-06-18 |
| 1346734985 | Robert Young Center for Community Mental Health | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-06-18 |
| 1730685389 | Robert Young Center for Community Mental Health | Substance Abuse Rehabilitation Facility | 1616 Cedar St, Muscatine, IA 52761-3453 | 2018-04-03 |
| 1376909309 | Robert Young Center for Community Mental Health | Community/Behavioral Health | 4600 3rd St, Moline, IL 61265-6106 | 2016-01-06 |
| 1871542829 | Robert Young Center for Community Mental Health | Community/Behavioral Health | 2701 17th St, Rock Island, IL 61201-5351 | 2006-05-08 |
| Street Address |
12200 104TH ST |
| City | COAL VALLEY |
| State | IL |
| Zip Code | 61240-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407026511 | Arrowhead Ranch | Community/Behavioral Health | 12200 104th St, Coal Valley, IL 61240-9712 | 2008-03-04 |
| 1215575139 | Naomi Sanderson | Social Worker | 12200 104th St, Coal Valley, IL 61240-9712 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962713495 | Coal Valley Fire Protection District | Ambulance | 103 W 18th Ave, Coal Valley, IL 61240 | 2010-06-30 |
| 1831354364 | Karen Ann Dhanens | Occupational Therapist | 1108 East 4th Street, Coal Valley, IL 61240 | 2008-07-24 |
| 1972667111 | Margarida R Laub | Dentist | 205 West First Avenue, Caol Valley, IL 61240 | 2006-12-21 |
| 1922059047 | Emil George Anthony | Contractor | 120 W 14th St, Coal Valley, IL 61240-8811 | 2006-05-13 |
| 1659528503 | Shellene Suzanne Fischer | Occupational Therapist | 507 E 13th Avenue Ct, Coal Valley, IL 61240-9128 | 2008-08-22 |
| 1730157322 | William C Mccabe | Personal Emergency Response Attendant | 1702 E 6th St, Coal Valley, IL 61240-9145 | 2006-03-09 |
| 1578542304 | Yogin J. Parikh | Specialist | 4 Sawgrass Dr, Coal Valley, IL 61240-9148 | 2006-01-11 |
| 1427573633 | Elizabeth S Heisler | Speech-Language Pathologist | 307 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2017-08-09 |
| 1851370993 | Rodney Clifford Howell | Nurse Practitioner | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2006-01-16 |
| 1144419078 | Progressive Home Wound Care, Inc | Home Health | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2007-10-16 |
| Find all providers in zip 61240 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | COAL VALLEY |
| Zip Code | 61240 |
Please comment or provide details below to improve the information on ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH.
| 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.