AMY BAZELON LCPC, LLC (NPI# 1124521430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124521430 |
| Entity Type | Organization |
| Organization Name | AMY BAZELON LCPC, LLC |
| Practice Address |
1788 2nd St Ste 201 Highland Park IL 60035-3279 |
| Mailing Address |
839 Moseley Rd Highland Park IL 60035-4635 |
| Practice Telephone | 8474328968 |
| Mailing Telephone | 8474328968 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | AMY BAZELON (MEMBER) |
| Authorized Official Telephone | 8474328968 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 180.010546 | IL | Agencies |
| Street Address |
1788 2ND ST STE 201 |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1992224828 | Alternatives, Inc. | Community/Behavioral Health | 15 Holly Ct, Highland Park, NJ 08904-1920 | 2017-09-12 |
| 1184143018 | Alternatives, Inc. | Community/Behavioral Health | 55 Maple Ct, Highland Park, NJ 08904-1923 | 2017-09-12 |
| 1265951198 | Alternatives, Inc. | Community/Behavioral Health | 69 Maple Ct, Highland Park, NJ 08904-1924 | 2017-09-12 |
| 1619496544 | Alternatives, Inc. | Community/Behavioral Health | 159 Walnut Ct, Highland Park, NJ 08904-1930 | 2017-09-12 |
| 1548789472 | Alternatives, Inc. | Community/Behavioral Health | 199 Walnut Ct, Highland Park, NJ 08904-1932 | 2017-09-12 |
| 1508385592 | Alternatives, Inc. | Community/Behavioral Health | 203 Walnut Ct, Highland Park, NJ 08904-1933 | 2017-09-12 |
| 1235658220 | Alternatives, Inc | Community/Behavioral Health | 204 Walnut Ct, Highland Park, NJ 08904-1933 | 2017-09-12 |
| 1962921957 | Alternatives, Inc. | Community/Behavioral Health | 211 Walnut Ct, Highland Park, NJ 08904-1933 | 2017-09-12 |
| 1780103770 | Alternatives, Inc. | Community/Behavioral Health | 215 Walnut Ct, Highland Park, NJ 08904-1933 | 2017-09-12 |
| 1114446101 | Alternatives, Inc. | Community/Behavioral Health | 34 Cedar Ln Apt C, Highland Park, NJ 08904-2064 | 2017-09-12 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.