THE MENTAL DIFFERENCE (NPI# 1336507532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336507532 |
| Entity Type | Organization |
| Organization Name | THE MENTAL DIFFERENCE |
| Practice Address |
125 Windsor Dr Ste 103 Oak Brook IL 60523-4073 |
| Mailing Address |
506 Royal Oaks Dr Wood Dale IL 60191-2417 |
| Practice Telephone | 3122821770 |
| Mailing Telephone | 3122821770 |
| Mailing Fax Number | 6304551865 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MR. ANDREW C JOY (PRESIDENT/ CLINICIAN) |
| Authorized Official Telephone | 3122821770 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9933 Lawler Ave Ste 324, Skokie, IL 600773730 | 3122821770 | |
| 1 E Oakhill Dr, Westmont, IL 605595562 | 3122821770 | 6304551865 |
| Street Address |
125 WINDSOR DR STE 103 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962925552 | Asma Afridi | Counselor | 900 Jorie Blvd Ste 36, Oak Brook, IL 60523-2291 | 2017-07-25 |
| 1811300767 | Swati Varma | Counselor | 1010 Jorie Blvd., Suite 112, Oak Brook, IL 60523 | 2014-06-09 |
| 1215223318 | Advanced Therapeutic Solutions | Counselor | 600 W 22nd Street, Suite 250, Oak Brook, IL 60523 | 2011-06-27 |
| 1538484969 | Danute Kuncas | Counselor | 125 Windsor Dr Ste 113, Suite 118, Oak Brook, IL 60523-4082 | 2010-03-29 |
| 1932221181 | Patricia Ely and Associates | Counselor | 2625 Butterfield Road, Suite 103w, Oak Brook, IL 60523 | 2007-04-06 |
| 1285793463 | Katherina Krentkowski | Counselor | 3500 Spring Rd, Oak Brook, IL 60523-2718 | 2006-12-06 |
| 1639115967 | Amy D. Schut | Counselor | 2625 Butterfield Rd Ste 101n, Oak Brook, IL 60523-3405 | 2006-06-22 |
| 1740816362 | Tiffany Michele Bellamy | Counselor | 2021 Midwest Rd Ste 100c, Oak Brook, IL 60523-1394 | 2020-03-15 |
| 1467001685 | Samantha Eiler | Counselor | 2625 Butterfield Rd Ste 101n, Oak Brook, IL 60523-3405 | 2019-09-10 |
| 1548824543 | Karen Cipriano | Counselor | 1000 Jorie Blvd Ste 48, Oak Brook, IL 60523-4498 | 2019-04-24 |
| Find all providers in OAK BROOK | ||||
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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.