MATHERS COMMUNITY MENTAL HEALTH CENTER LLC (NPI# 1265884837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265884837 |
| Entity Type | Organization |
| Organization Name | MATHERS COMMUNITY MENTAL HEALTH CENTER LLC |
| Practice Address |
585 Tollgate Rd Elgin IL 60123-9323 |
| Mailing Address |
145 S Virginia St Crystal Lake IL 60014-7226 |
| Practice Telephone | 8474626099 |
| Mailing Telephone | 8154449999 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | ORALIA CAMPOS (SENIOR BILLING MANAGER) |
| Authorized Official Telephone | 8154449999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093167660 | Mathers Community Mental Health Center LLC | Community/Behavioral Health | 715 W Judd St, Woodstock, IL 60098-3186 | 2016-07-07 |
| 1659723211 | Mathers Community Mental Health Center LLC | Community/Behavioral Health | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-07-07 |
| Street Address |
585 TOLLGATE RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457714 | Mathers Clinic, LLC | Clinic/Center | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-02-19 |
| 1083252480 | Mathers Recovery LLC | Psychiatry & Neurology | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2019-12-16 |
| 1932614088 | Yolanda Daniels | Counselor | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2017-12-12 |
| 1912418526 | Tammy A Devries | Counselor | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2017-10-23 |
| 1548771165 | Gerald Haught | Counselor | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2017-10-23 |
| 1639614175 | Mathers Recovery LLC | Community/Behavioral Health | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-12-19 |
| 1649714320 | Sandra Shakro | Specialist | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888500 | Ecker Center for Behavioral Health | Clinic/Center | 1410 Getzelman Dr Apt 2e, Elgin, IL 60123-2054 | 2019-12-18 |
| 1811472137 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 701 C St, Elgin, OK 73538-9080 | 2018-10-02 |
| 1518321801 | Andrea M. Barr, Lcpc, LLC | Clinic/Center | 2250 Point Blvd., Ste. 140, Elgin, IL 60123 | 2016-04-12 |
| 1821457714 | Mathers Clinic, LLC | Clinic/Center | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-02-19 |
| 1760861959 | Ecker Center for Behavioral Health | Clinic/Center | 1012 Todd Farm Drive, Elgin, IL 60123 | 2015-05-21 |
| 1114312097 | Ecker Center for Behavioral Health | Clinic/Center | 1680 Mark Ave, Elgin, IL 60123-2907 | 2015-03-30 |
| 1972849719 | Ecker Center for Behavioral Health | Clinic/Center | 52 Surrey Dr, Elgin, IL 60123-5157 | 2012-12-26 |
| 1881930626 | Ecker Center for Behavioral Health | Clinic/Center | 1582 Mark Ave, Elgin, IL 60123-1960 | 2012-12-26 |
| 1386822591 | Ecker Center for Behavioral Health | Clinic/Center | 1475 Royal Blvd, Elgin, IL 60123-2040 | 2008-02-11 |
| 1427236157 | Ecker Center for Behavioral Health | Clinic/Center | 1383 Abbott Dr, Elgin, IL 60123-1865 | 2008-02-05 |
| Find all providers in ELGIN | ||||
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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.