MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC. (NPI# 1902251507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902251507 |
| Entity Type | Organization |
| Organization Name | MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC. |
| Practice Address |
560 W Pine St Farmington MO 63640-1426 |
| Mailing Address |
560 W Pine St P O Box 510 Farmington MO 63640-1426 |
| Practice Telephone | 5737562899 |
| Practice Fax Number | 5737564105 |
| Mailing Telephone | 5737562899 |
| Mailing Fax Number | 5737564105 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | MRS. VICKY L WINICK (PRESIDENT EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5737562899 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2162 | MO | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2162 | MO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594380 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | Clinic/Center | 203 South Washington, Farmington, MO 63640-0510 | 2007-03-09 |
| Street Address |
560 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265789200 | Mhg Outpatient Lab LLC | Clinical Medical Laboratory | 560 W Pine St, Farmington, MO 63640-1426 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594380 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | Clinic/Center | 203 South Washington, Farmington, MO 63640-0510 | 2007-03-09 |
| 1275140089 | Love & Wellness Counseling | Clinic/Center | 240 N East Promontory, Farmington, UT 84025-2950 | 2020-09-25 |
| 1972129179 | Community Behavioral Health Centers of Missouri, LLC | Clinic/Center | 1528 Highway H, Farmington, MO 63640-7042 | 2020-06-23 |
| 1013362078 | Southeast Missouri Behavioral Health | Clinic/Center | 5536 Hwy 32, Farmington, MO 63640-7357 | 2016-04-27 |
| 1144351008 | Bjc Behavioral Health | Clinic/Center | 1085 Maple St, Farmington, MO 63640-1955 | 2007-03-09 |
| 1144372517 | Southeast Missouri Behavioral Health | Clinic/Center | 5536 State Highway 32, Po Drawer 459, Farmington, MO 63640-7357 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484599 | Institute of Intrapersonal Development, LLC | Clinic/Center | 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 | 2020-10-13 |
| 1740813096 | Hotel California By The Sea St. Louis, LLC | Clinic/Center | 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 | 2020-02-14 |
| 1659832079 | Metro Neurohealth LLC | Clinic/Center | 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 | 2019-03-28 |
| 1013472703 | Teresa L Deshields Phd LLC | Clinic/Center | 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 | 2019-02-06 |
| 1497226328 | Butler Psychological Services, LLC | Clinic/Center | 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 | 2018-12-17 |
| 1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
| 1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
| 1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
| 1912361627 | New Horizons Community Support Services, Inc. | Clinic/Center | 2013 William St, Jefferson City, MO 65109-4771 | 2016-04-08 |
| 1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC..
| 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.