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CHADDOCK
NPI 1033157748
Community Based Residential Treatment Facility, Mental Illness in Quincy, IL

Active since June 03, 2006
205 S 24TH ST, QUINCY, IL 62301(217) 222-0034(217) 222-3865 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Chaddock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHADDOCK (NPI 1033157748) is a healthcare organization registered as a community based residential treatment facility, mental illness in Quincy, Illinois and active in the NPI registry since June 2006. The organization lists Kristen Patton, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1033157748
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCHADDOCK
Location Address205 S 24TH STQuincy, IL 62301-4446
Mailing Address205 S 24th StQuincy, IL 62301-4446 · (217) 222-0034 · Fax (217) 222-3865
Phone(217) 222-0034
Fax(217) 222-3865
Organization SubpartNo
Authorized OfficialKristen PattonDirector Of Finance · (217) 592-0317
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1033157748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Licenses✔ Licensed in IL · 004049-10✔ Licensed in IL · 308658-03
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
205 S 24TH ST, Quincy, IL 62301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNE-CLAIRE MARIE VAHLE MSED
Counselor (Professional)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
MS. JAKIN KAOHE COLVIN MSW
Social Worker
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
MOLLY BAINTER MSW, LCSW
Social Worker (Clinical)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
MR. MATHIAS R OBERT L.C.S.W.
Social Worker (Clinical)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
MS. LAURA MARJA GOODMAN M.S.
Counselor (Mental Health)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
CEARA A. ALEXANDER MS ED., LCPC
Counselor (Mental Health)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
DANIELLE HAMILTON MA, LCPC
Counselor (Professional)
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 222-0034
MR. TIMOTHY A WHITE MSW
Social Worker
205 S 24TH ST
QUINCY, IL 62301
Adams County (217) 592-0463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaddock's NPI number?

The NPI number for Chaddock is 1033157748. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Chaddock located?

Chaddock is located at 205 S 24th St, Quincy, IL 62301. The listed phone number is (217) 222-0034.

What is Chaddock's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Chaddock was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.