CLEARBROOK MCHENRY CMHC (NPI# 1184260770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184260770 |
| Entity Type | Organization |
| Organization Name | CLEARBROOK MCHENRY CMHC |
| Practice Address |
6500 Northwest Hwy Unit 16e Crystal Lake IL 60014-3117 |
| Mailing Address |
1835 W Central Rd Arlington Heights IL 60005-2410 |
| Practice Telephone | 8158936509 |
| Mailing Telephone | 8473855041 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | HOLLIS GORRIE (DIRECTOR HOME BASED SERVICES) |
| Authorized Official Telephone | 8473855041 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARBROOK |
| 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 |
| Street Address |
6500 NORTHWEST HWY UNIT 16E |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1235789827 | Clearbrook Cmhc | Clinic/Center | 2 Crystal Lake Plz Ste C, Crystal Lake, IL 60014-3118 | 2019-09-16 |
| 1376199356 | Mandala Counseling Services LLC | Clinic/Center | 8600 Northwest Hwy # 14, Crystal Lake, IL 60012-2706 | 2019-08-14 |
| 1376671461 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2007-03-01 |
| 1457842460 | The Center for Courageous Living LLC | Clinic/Center | 125 S Virginia St, Crystal Lake, IL 60014-5845 | 2018-05-24 |
| 1134575558 | Rosecrance Inc | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012 | 2016-05-05 |
| 1447610381 | Mathers Clinic, LLC | Clinic/Center | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-03-04 |
| 1154579068 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2008-09-04 |
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|---|---|---|---|---|
| 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 |
| 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 |
| 1841807369 | Trinity Services Inc. | Clinic/Center | 14315 108th Ave Ste 222, Orland Park, IL 60467-5701 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on CLEARBROOK MCHENRY CMHC.
| 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.