MARK JIARAS LTD (NPI# 1336502434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336502434 |
| Entity Type | Organization |
| Organization Name | MARK JIARAS LTD |
| Practice Address |
4200 W Peterson Ave Suite 105 Chicago IL 60646-6074 |
| Practice Telephone | 8476303900 |
| Mailing Telephone | 8476303900 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MARK JIARAS (PRESIDENT) |
| Authorized Official Telephone | 8476303900 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 071-006111 | IL | Agencies |
| Street Address |
4200 W PETERSON AVE SUITE 105 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470217 | Michael A. Krell | Dentist | 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 | 2005-07-08 |
| 1366748329 | Danielle N Keller | Audiologist | 4200 W Peterson Ave, Suite 100, Chicago, IL 60646-6074 | 2011-02-08 |
| 1508006313 | Jacobson Orthodontic Associates, Ltd | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2009-03-06 |
| 1871756767 | Irene T. Theodore | Dentist | 4200 W Peterson Ave, Suite 136, Chicago, IL 60646-6074 | 2008-07-09 |
| 1558528646 | Rachelle Hasson Miller | Psychiatry & Neurology | 4200 W Peterson Ave, Suite 105, Chicago, IL 60646-6074 | 2008-05-18 |
| 1396912499 | Tundi M Frank | Dentist | 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6074 | 2008-05-08 |
| 1881812550 | Bailey Norman Jacobson | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2007-04-20 |
| 1821120122 | Ronald Jacobson | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2007-03-12 |
| 1811026669 | Krell-reuben Oral Surgery Ltd. | Dentist | 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 | 2007-03-05 |
| 1417095530 | Sauganash Center for Dental Health Ltd | Dentist | 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6052 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| 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 |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 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 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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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.