PRESENCE BEHAVIORAL HEALTH (NPI# 1033365010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365010 |
| Entity Type | Organization |
| Organization Name | PRESENCE BEHAVIORAL HEALTH |
| Other Organization Name | PROCARE CENTERS |
| Practice Address |
537 Des Plaines Ave Forest Park IL 60130-1859 |
| Mailing Address |
1820 S 25th Ave Broadview IL 60155-2864 |
| Practice Telephone | 7086812324 |
| Practice Fax Number | 7083455496 |
| Mailing Telephone | 7083383806 |
| Mailing Fax Number | 7086811289 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | MRS. KRISTIN KAMISKI (MANAGER, GENERAL ACCOUNTING) |
| Authorized Official Telephone | 7083383806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1616027 | 01 |
| Other Name | Type Code |
|---|---|
| ProCare Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285596 | Presence Behavioral Health | Clinic/Center | 117 S 6th Ave, Maywood, IL 60153-1377 | 2008-08-19 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1629224662 | Presence Behavioral Health | Clinic/Center | 611 N 2nd Ave, Maywood, IL 60153-1111 | 2008-08-11 |
| 1083141493 | Presence Behavioral Health | Community/Behavioral Health | 1127 N Oakley Blvd, Nfc Bldg 3rd Floor, Chicago, IL 60622-3507 | 2017-05-16 |
| 1578919247 | Presence Behavioral Health | Clinic/Center | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-11 |
| 1841646122 | Presence Behavioral Health | Community/Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-05 |
| 1558625277 | Presence Behavioral Health | Clinic/Center | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2012-06-27 |
| 1649427774 | Presence Behavioral Health | Clinic/Center | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2008-08-20 |
| 1780831057 | Presence Behavioral Health | Clinic/Center | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| 1497902761 | Presence Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2008-08-19 |
| Street Address |
537 DES PLAINES AVE |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1629266473 | Clayton Mhddad | Clinic/Center | 4513 Ernest Dr, Apt. # 1 & 3, Forest Park, GA 30297-3566 | 2007-10-05 |
| 1013425081 | Self Love Solutions | Clinic/Center | 530 Forest Pkwy, Forest Park, GA 30297-2188 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on PRESENCE BEHAVIORAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.