PRESENCE BEHAVIORAL HEALTH (NPI# 1083141493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083141493 |
| Entity Type | Organization |
| Organization Name | PRESENCE BEHAVIORAL HEALTH |
| Other Organization Name | ST. MARY & ST. ELIZABETH MEDICAL CENTER |
| Practice Address |
1127 N Oakley Blvd Nfc Bldg 3rd Floor Chicago IL 60622-3507 |
| Practice Telephone | 3127702317 |
| Practice Fax Number | 3127702557 |
| Mailing Telephone | 3127702317 |
| Mailing Fax Number | 3127702557 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | FRANK PERHAM (VICE PRESIDENT) |
| Authorized Official Telephone | 3127702317 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESENCE CHICAGO HOPSITAL NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | IL | Agencies |
| Other Name | Type Code |
|---|---|
| St. Mary & St. Elizabeth Medical center | Other Name - Individual/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 |
| 1033365010 | Presence Behavioral Health | Clinic/Center | 537 Des Plaines Ave, Forest Park, IL 60130-1859 | 2008-08-11 |
| 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 |
1127 N OAKLEY BLVD NFC BLDG 3RD FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841305877 | Presence Chicago Hospitals Network | Pharmacy | 1127 N Oakley Blvd, Ste 137, Chicago, IL 60622-3507 | 2006-08-20 |
| 1386202216 | Verenisse Torres | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Fl 2, Chicago, IL 60622-3507 | 2019-06-05 |
| 1093271116 | Iesha D Harris | Counselor | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2019-02-13 |
| 1972085447 | Alexys Marie Opel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-31 |
| 1902387715 | Christina Marie Chavira | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-29 |
| 1104307966 | Yadira Chavez | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
| 1629559521 | Bianca Mckenzie Mack | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
| 1285115436 | Bridget Stukel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-26 |
| 1659851483 | Erin Hohman Ameri | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
| 1558841247 | Angelica Picado | Clinic/Center | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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| 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.