OrganizationActive
Childrens Home & Aid Soc of Il
NPI 1346557170 · Mental Health Clinic/Center (Including Community Mental Health Center) · East Saint Louis, IL
Provider details
- NPI number
- 1346557170
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Shaver, President/Ceo(312) 424-6801
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
907 Martin Luther King Dr
Suite C
East Saint Louis, IL 62201-1704
Phone: (618) 874-0216
Street-level locationGet directions
Mailing address
200 W Monroe St Ste 2100
Chicago, IL 60606-5071
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.