MATHERS CLINIC, LLC (NPI# 1215194519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215194519 |
| Entity Type | Organization |
| Organization Name | MATHERS CLINIC, LLC |
| Practice Address |
5804 Elaine Dr Rockford IL 61108-2435 |
| Mailing Address |
8420 W Bryn Mawr Ave Suite 620 Chicago IL 60631-3479 |
| Practice Telephone | 8153977654 |
| Practice Fax Number | 8153972712 |
| Mailing Telephone | 7737752800 |
| Mailing Fax Number | 7737753366 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DR. RAMESH BABU VEMURI (VICE PRESIDENT) |
| Authorized Official Telephone | 8153977654 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36039266 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457714 | Mathers Clinic, LLC | Clinic/Center | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-02-19 |
| 1447610381 | Mathers Clinic, LLC | Clinic/Center | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-03-04 |
| Street Address |
5804 ELAINE DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851433254 | Kathleen Marie Freeburg | Marriage & Family Therapist | 5804 Elaine Dr, Mathers Clinic, Rockford, IL 61108 | 2007-02-13 |
| 1710145743 | Jeffrey Martin | Counselor | 5804 Elaine Dr, Rockford, IL 61108-2435 | 2008-05-27 |
| 1689832693 | Norman H Pfile | Counselor | 5804 Elaine Dr, Rockford, IL 61108 | 2008-05-27 |
| 1700044724 | Anne Ellen De Verneuil | Counselor | 5804 Elaine Dr, Rockford, IL 61108-2435 | 2008-05-27 |
| 1942492517 | Charles Doy Dudley | Counselor | 5804 Elaine Dr, Rockford, IL 61108-2435 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652457 | Martha Crotts | Psychiatry & Neurology | 5758 Elaine Dr, Rockford, IL 61108-3102 | 2007-03-05 |
| 1033596176 | Bennett Harris | Psychiatry & Neurology | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2015-04-27 |
| 1891988010 | Evan Christopher Silvi | Psychiatry & Neurology | 1401 E State St, Rockford, IL 61104-2315 | 2007-08-21 |
| 1528195013 | Fareha N. Malik, M.d. LLC | Psychiatry & Neurology | 3865 N. Mulford Rd., Rockford, IL 61114-5603 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| 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.