Organization · Type 2 NPI

Janesville Psychiatric Clinic of Main

Community/Behavioral Health Agency · Janesville, WI

NPI number 1598149403 Active

Practice location

2010 Parkside Dr
Janesville, WI 53548-6613

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	162 - 124, 366 - 125 (WI)
Community/Behavioral Health Agency Primary	251S00000X	3044- 123 (WI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

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NPI record

NPI: 1598149403
Entity type: Organization (Type 2)
Issued: Jul 10, 2015
Last updated: Jul 20, 2015
Status: Active
Subpart: Yes of Janesville Psychiatric Clinic

Other names

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BC Psychiatric Clinic · doing business as

Authorized official

Mr. William Lee Hollingsworth, MS
Director
(608) 436-6161

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1598149403

Janesville Psychiatric Clinic of Main's National Provider Identifier is 1598149403, issued on Jul 10, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Janesville, WI. The record was last updated on Jul 20, 2015.