GOODMAN (BUILDING/PROGRAM)
NPI 1831683382
Residential Treatment Facility, Emotionally Disturbed Children in Urbana, IL

Active since June 19, 2018
1301 N CUNNINGHAM AVE, URBANA, IL 61802(217) 367-3728(217) 367-2896 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Goodman (building/program) NPPES

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

GOODMAN (BUILDING/PROGRAM) (NPI 1831683382) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Urbana, Illinois and active in the NPI registry since June 2018. The organization lists Shawn Suzette Peterson, Director Of Quality Improvement, as its authorized official.

NPPES Registry Identity

NPI1831683382
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCUNNINGHAM CHILDREN'S HOME OF URBANA IL
Location Address1301 N CUNNINGHAM AVEUrbana, IL 61802-1830
Mailing Address1301 N Cunningham AveUrbana, IL 61802-1830 · (217) 367-3728 · Fax (217) 367-2896
Fax(217) 367-2896
Organization SubpartNo
Authorized OfficialShawn Suzette PetersonDirector Of Quality Improvement · (217) 367-3728
Enumeration DateJune 19, 2018
NPI 1831683382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1301 N CUNNINGHAM AVE, Urbana, IL 61802

Other Names 1

Other NameGoodman (building/program)

Other Identifiers 1

Medicaid=========002IL

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
1301 N CUNNINGHAM AVE
URBANA, IL 61802
Social Worker (Clinical)
1301 N CUNNINGHAM AVE
URBANA, IL 61802
Social Worker (Clinical)
1301 N CUNNINGHAM AVE
URBANA, IL 61802
Residential Treatment Facility, Emotionally Disturbed Children
1301 N CUNNINGHAM AVE
URBANA, IL 61802
Clinic/Center (Mental Health (Including Community Mental Health Center))
1301 N CUNNINGHAM AVE
URBANA, IL 61802
Social Worker (Clinical)
1301 N CUNNINGHAM AVE
URBANA, IL 61802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831683382, enumerated as an "organization" on June 19, 2018.

The provider is located at 1301 N CUNNINGHAM AVE URBANA, IL 61802 and the phone number is (217) 367-3728.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.