KERRY MENDOZA
NPI 1881138071
Community Based Residential Treatment Facility, Mental Illness in Rock Island, IL

Active since December 07, 2016
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2957 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerry Mendoza NPPES

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

KERRY MENDOZA (NPI 1881138071) is an individual community based residential treatment facility, mental illness provider in Rock Island, Illinois and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1881138071
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameKERRY MENDOZA
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address1854 45th StRock Island, IL 61201-3952
Sole ProprietorYes
Enumeration DateDecember 7, 2016
NPI 1881138071 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
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2701 17TH ST, Rock Island, IL 61201

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.

Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor (Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201

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 Kerry Mendoza's NPI number?

The NPI number for Kerry Mendoza is 1881138071. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Kerry Mendoza located?

Kerry Mendoza practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-2957.

What is Kerry Mendoza'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 Kerry Mendoza was last updated on December 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.