PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.


Address: 1518 E 63rd St, Chicago, IL 60637-2921
Phone: 7735790832

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1154744480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154744480
Entity Type Organization
Organization Name PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Other Organization Name PILSEN WELLNESS CENTER, INC.
Practice Address 1518 E 63rd St
Chicago
IL 60637-2921
Mailing Address 2319 S Damen Ave
Chicago
IL 60608-4209
Practice Telephone 7735790832
Practice Fax Number 7735790762
Mailing Telephone 7735790832
Mailing Fax Number 7735790762
Enumeration Date 2014-01-22
Last Update Date 2014-01-22
Authorized Official Name DR. FRANCISCO CISNEROS (PRESIDENT/CEO)
Authorized Official Telephone 7735790982
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 04113 IL Agencies

Other Provider/Organization Names

Other Name Type Code
Pilsen Wellness Center, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225418577 Pilsen-little Village Community Mental Health Center, Inc. Community/Behavioral Health 2600 Ridgeland Ave, Berwyn, IL 60402-2725 2015-06-02
1073781811 Pilsen-little Village Community Mental Health Center, Inc. Case Management 2319 S Damen Ave, Chicago, IL 60608-4209 2008-02-14
1578787644 Pilsen-little Village Community Mental Health Center, Inc. Clinic/Center 3113 W Cermak Rd, Chicago, IL 60623-3449 2007-04-12
1245854389 Pilsen-little Village Community Mental Health Center, Inc. Community/Behavioral Health 2938 E 89th St, Chicago, IL 60617-3244 2020-06-04
1932577780 Pilsen-little Village Community Mental Health Center, Inc. Community/Behavioral Health 2001 S California Ave, Chicago, IL 60608-2486 2015-09-10
1114394624 Pilsen-little Village Community Mental Health Center, Inc. Clinic/Center 1633 N 37th Ave, Melrose Park, IL 60160-1723 2015-09-01
1003283540 Pilsen-little Village Community Mental Health Center, Inc. Clinic/Center 2319 S Damen Ave, Chicago, IL 60608-4209 2015-09-01
1568839090 Pilsen-little Village Community Mental Health Center, Inc. Clinic/Center 3232 W 55th St, Chicago, IL 60632-2638 2015-09-01
1508034349 Pilsen-little Village Community Mental Health Center, Inc. Community/Behavioral Health 2319 S Damen Ave, Chicago, IL 60608-4209 2008-02-14

Office Location

Street Address 1518 E 63RD ST
City CHICAGO
State IL
Zip Code 60637-2921

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1205391620 Derek Joseph Fiedler Anesthesiology University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 2019-02-11
1821573072 Ugochinyere Ohaja Registered Nurse 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1194235283 Melissa Ann Arangoa Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60637

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Dataset Information

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.

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