INTEGRATIVE PSYCHOLOGICAL SOLUTIONS, LLC (NPI# 1235521303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235521303 |
Entity Type | Organization |
Organization Name | INTEGRATIVE PSYCHOLOGICAL SOLUTIONS, LLC |
Practice Address |
800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 |
Mailing Address |
4301 Exeter Ln Northbrook IL 60062-1139 |
Practice Telephone | 3128044360 |
Mailing Telephone | 3128044360 |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-06-22 |
Authorized Official Name | DR. KARINA BORTNIK (CLINICAL DIRECTOR) |
Authorized Official Telephone | 3128044360 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 071006751 | IL | Agencies |
Street Address |
800 S MILWAUKEE AVE STE 180 |
City | LIBERTYVILLE |
State | IL |
Zip Code | 60048-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104944776 | Vernon Hills Medical Center, Ltd | Psychiatry & Neurology | 800 S Milwaukee Ave Ste 180, Libertyville, IL 60048-3200 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
Find all providers in zip 60048 |
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 |
---|---|---|---|---|
1477036507 | County of Lake | Community/Behavioral Health | 18736 W Peterson Rd, Libertyville, IL 60048-1064 | 2018-09-14 |
1447778972 | Mcknight Group LLC | Community/Behavioral Health | 1860 W Winchester Rd Ste 205, Libertyville, IL 60048-5317 | 2017-09-05 |
1912333576 | County of Lake | Community/Behavioral Health | 18698 W Peterson Road, Libertyville, IL 60048 | 2013-09-16 |
1538380670 | Lake County Behavioral Health | Community/Behavioral Health | 400 W Winchester Rd, Libertyville, IL 60048-1325 | 2007-05-02 |
1871938753 | Kimberly A. Kick, Lcsw & Associates, Ltd. | Community/Behavioral Health | 709 N Milwaukee Ave, Libertyville, IL 60048-1913 | 2013-05-06 |
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 |
City | LIBERTYVILLE |
Zip Code | 60048 |
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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.