PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1225418577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225418577 |
| Entity Type | Organization |
| Organization Name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | PILSEN WELLNESS CENTER, INC |
| Practice Address |
2600 Ridgeland Ave Berwyn IL 60402-2725 |
| Mailing Address |
2319 S Damen Ave Chicago IL 60608-4209 |
| Practice Telephone | 7083175926 |
| Mailing Telephone | 7735790832 |
| Mailing Fax Number | 7735790762 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | DR. FRANCISCO CISNEROS (PRESICENT/CEO) |
| Authorized Official Telephone | 7735790832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Pilsen Wellness Center, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154744480 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 1518 E 63rd St, Chicago, IL 60637-2921 | 2014-01-22 |
| 1073781811 | Pilsen-little Village Community Mental Health Center, Inc. | Case Management | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| 1578787644 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3113 W Cermak Rd, Chicago, IL 60623-3449 | 2007-04-12 |
| 1245854389 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2938 E 89th St, Chicago, IL 60617-3244 | 2020-06-04 |
| 1932577780 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2001 S California Ave, Chicago, IL 60608-2486 | 2015-09-10 |
| 1114394624 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2015-09-01 |
| 1003283540 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2015-09-01 |
| 1568839090 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3232 W 55th St, Chicago, IL 60632-2638 | 2015-09-01 |
| 1508034349 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| Street Address |
2600 RIDGELAND AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189005 | Madeline E Arroyo | Social Worker | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2020-09-21 |
| 1629697578 | Janelle Otero | Counselor | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2020-04-10 |
| 1902393275 | Marleni Pelayo | Social Worker | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2018-04-22 |
| 1912363672 | Carrie Elizabeth Ohl | Social Worker | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2016-01-11 |
| 1669844882 | Nestor Isaac Flores | Counselor | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851895015 | Couples and Family Wellness Center LLC | Community/Behavioral Health | 1034 Beaumont Rd, Berwyn, PA 19312-2040 | 2018-03-22 |
| 1366965949 | Elizabeth Macias | Community/Behavioral Health | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2017-07-25 |
| 1013337476 | Hart/ross Associates | Community/Behavioral Health | 6 Porteous Rd, Berwyn, PA 19312-1275 | 2014-04-23 |
| 1720350556 | Daemion Counseling Center | Community/Behavioral Health | 95 Howellville Rd, Berwyn, PA 19312-1307 | 2012-02-09 |
| 1578885075 | Miyoshi Faggins | Community/Behavioral Health | 139 Leopard Rd, Berwyn, PA 19312-1809 | 2010-02-24 |
| 1174664742 | The Devereux Foundation | Community/Behavioral Health | 139 Leopard Rd, Berwyn, PA 19312-1809 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 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.