PRESENCE BEHAVIORAL HEALTH


Address: 117 S 6th Ave, Maywood, IL 60153-1377
Phone: 7086812324

PRESENCE BEHAVIORAL HEALTH (NPI# 1225285596) 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) 1225285596
Entity Type Organization
Organization Name PRESENCE BEHAVIORAL HEALTH
Other Organization Name PROCARE CENTERS
Practice Address 117 S 6th Ave
Maywood
IL 60153-1377
Mailing Address 1820 S 25th Ave
Broadview
IL 60155-2864
Practice Telephone 7086812324
Practice Fax Number 7083455496
Mailing Telephone 7083383806
Mailing Fax Number 7086811289
Enumeration Date 2008-08-19
Last Update Date 2013-06-07
Authorized Official Name MRS. KRISTIN KAMINSKI (MANAGER, GENERAL ACCOUNTING)
Authorized Official Telephone 7083383806
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 1616027 01

Other Provider/Organization Names

Other Name Type Code
ProCare Centers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598912867 Presence Behavioral Health Clinic/Center 170 N 23rd Ave, Melrose Park, IL 60160-3635 2008-08-19
1629224662 Presence Behavioral Health Clinic/Center 611 N 2nd Ave, Maywood, IL 60153-1111 2008-08-11
1033365010 Presence Behavioral Health Clinic/Center 537 Des Plaines Ave, Forest Park, IL 60130-1859 2008-08-11
1083141493 Presence Behavioral Health Community/Behavioral Health 1127 N Oakley Blvd, Nfc Bldg 3rd Floor, Chicago, IL 60622-3507 2017-05-16
1578919247 Presence Behavioral Health Clinic/Center 9845 W Roosevelt Rd, Westchester, IL 60154-2758 2016-05-11
1841646122 Presence Behavioral Health Community/Behavioral Health 9855 W Roosevelt Rd, Westchester, IL 60154-2758 2016-05-05
1558625277 Presence Behavioral Health Clinic/Center 9855 W Roosevelt Rd, Westchester, IL 60154-2758 2012-06-27
1649427774 Presence Behavioral Health Clinic/Center 1820 S 25th Ave, Broadview, IL 60155-2864 2008-08-20
1780831057 Presence Behavioral Health Clinic/Center 1919 Main St, Melrose Park, IL 60160-3737 2008-08-19
1497902761 Presence Behavioral Health Clinic/Center 1414 Main St, Melrose Park, IL 60160-3902 2008-08-19

Office Location

Street Address 117 S 6TH AVE
City MAYWOOD
State IL
Zip Code 60153-1377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992155352 Kelly Hull Counselor 117 S 6th Ave, Clc Office, Maywood, IL 60153-1305 2016-06-16
1275893091 Kathryn Harris Counselor 117 S 6th Ave, Maywood, IL 60153-1305 2012-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
Find all providers in zip 60153

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629224662 Presence Behavioral Health Clinic/Center 611 N 2nd Ave, Maywood, IL 60153-1111 2008-08-11
1326545773 Healthy Soul Talk LLC Clinic/Center 1701 S 1st Ave Ste 307, Maywood, IL 60153-2419 2018-04-11

Providers in the same taxonomy and state

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

Competitor

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City MAYWOOD
Zip Code 60153

Improve Information

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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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