SHERIDAN COUNSELING GROUP PC (NPI# 1417480476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417480476 |
| Entity Type | Organization |
| Organization Name | SHERIDAN COUNSELING GROUP PC |
| Practice Address |
2800 N Sheridan Rd Suite 110 Chicago IL 60657-6156 |
| Practice Telephone | 7738070841 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MARK VASTOLA (OWNER) |
| Authorized Official Telephone | 7738070841 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2800 N SHERIDAN RD SUITE 110 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102563 | Kevin G Murphy | Family Medicine | 2800 N Sheridan Rd, Ste 606, Chicago, IL 60657-6159 | 2005-05-27 |
| 1679096572 | Angela Dawn Mcnichols | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60640-6064 | 2017-07-23 |
| 1427585132 | Andrew Mastro | Physician Assistant | 2800 N Sheridan Rd, Suite 210, Chicago, IL 60657-6156 | 2017-05-12 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1265881932 | Noah H Rosen Dmd, LLC | Dentist | 2800 N Sheridan Rd, Suite 204, Chicago, IL 60657-6108 | 2016-06-03 |
| 1215327101 | Platinum Medical Associates, Ltd | Internal Medicine | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2015-01-29 |
| 1669878823 | Meridian Behavioral Health Services | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60657-6156 | 2014-11-14 |
| 1659717221 | Jennifer In-hee Hur | Family Medicine | 2800 N Sheridan Rd, Suite 101, Chicago, IL 60657 | 2013-05-22 |
| 1437415668 | Elizabeth M. Gould | Nurse Practitioner | 2800 N Sheridan Rd, Suite 301, Chicago, IL 60657-6156 | 2012-04-02 |
| 1497025977 | Resurrection Services | Internal Medicine | 2800 N Sheridan Rd, Ste 500, Chicago, IL 60657-6156 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.