STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION (NPI# 1154868206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154868206 |
| Entity Type | Organization |
| Organization Name | STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION |
| Practice Address |
5635 State Rd Burbank IL 60459-2051 |
| Practice Telephone | 7084249200 |
| Practice Fax Number | 7084249267 |
| Mailing Telephone | 7084249200 |
| Mailing Fax Number | 7084249267 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | DR. CHRISTOPHER LEON GRUNOW (HEALTH DIRECTOR) |
| Authorized Official Telephone | 7084249200 |
| Authorized Official Credential | PSY.D. |
| 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) |
04131 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564970 | Stickney Public Health District, Behavioral Health Division | Clinic/Center | 5635 State Road, Burbank, IL 60459-2051 | 2019-02-14 |
| 1467918417 | Stickney Public Health District, Behavioral Health Division | Clinic/Center | 6721 W. 40th Street, Stickney, IL 60402-4174 | 2019-02-14 |
| Street Address |
5635 STATE RD |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144399593 | Andrew L. Marchese Jr. | Dentist | 5635 State Rd, Burbank, IL 60459-2051 | 2006-11-07 |
| 1164043501 | Pillars Community Health | Clinic/Center | 5635 State Rd, Burbank, IL 60459-2051 | 2020-04-27 |
| 1689087918 | Julia Tarnovsky | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2014-06-04 |
| 1780026161 | Sylvia B Rabianski | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2013-07-25 |
| 1750645842 | William J. Mcnichols | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2012-07-03 |
| 1972862282 | Amy B Sparacino | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2012-05-07 |
| 1003113853 | Deana M Coakley | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2011-02-14 |
| 1326222647 | Eloisa Rosales | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2007-12-21 |
| 1578765426 | Stickney Public Health District | Clinic/Center | 5635 State Rd, Burbank, IL 60459-2051 | 2007-06-04 |
| 1295891307 | Maureen Ann Nitsche | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| 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 |
|---|---|---|---|---|
| 1972129880 | Jaklin Yasaman Licensed Marriage and Family Therapy Corporation | Clinic/Center | 7869 Shadyspring Dr, Burbank, CA 91504-1040 | 2020-06-17 |
| 1639596497 | Los Angeles County Department of Mental Health | Clinic/Center | 200 N 3rd St Rm P143, 3rd Floor, Burbank, CA 91502-1201 | 2014-03-18 |
| 1093377707 | Guide Therapy Services | Clinic/Center | 2600 W Olive Ave Ste 500, Burbank, CA 91505-4572 | 2019-07-02 |
| 1578027397 | Amy Di Francia Therapy | Clinic/Center | 4421 W Riverside Dr Ste 210, Burbank, CA 91505-4051 | 2019-01-25 |
| 1720573983 | Maria Potter Counseling Services, LLC | Clinic/Center | 5501 W 79th St Ste 301, Burbank, IL 60459-2184 | 2018-06-28 |
| 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 | ||||
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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.