THE TABOR THERAPY GROUP, INC. (NPI# 1194360164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194360164 |
| Entity Type | Organization |
| Organization Name | THE TABOR THERAPY GROUP, INC. |
| Practice Address |
5404 W Elm St Ste H Mchenry IL 60050-4007 |
| Practice Telephone | 8153318768 |
| Mailing Telephone | 8153318768 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | JENNIFER ANN TABOR (OWNER) |
| Authorized Official Telephone | 8153318768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1023546710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2017-05-25 |
| Street Address |
5404 W ELM ST STE H |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699783803 | Gayle Saturday | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2006-08-03 |
| 1699389643 | Summer Brunson | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-09-06 |
| 1962016915 | Samantha Rahn | Social Worker | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-09-06 |
| 1801408182 | Betty Villagomez | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-08-19 |
| 1568001295 | Patti Ann Peschke | Social Worker | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-12-28 |
| 1740825710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1982186359 | Michael Gerber | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-09-03 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1023546710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2017-05-25 |
| 1932509668 | Betsy Gilpin | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
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| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
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| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1295379972 | Compass Health Center Oakbrook Pllc | Clinic/Center | 700 Oakmont Ln, Westmont, IL 60559-5551 | 2019-11-05 |
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| 1720629041 | Monte Nido Illinois, LLC | Clinic/Center | 27w121 80th St, Naperville, IL 60565-1270 | 2019-10-08 |
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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.