MATHERS CLINIC, LLC (NPI# 1447610381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447610381 |
| Entity Type | Organization |
| Organization Name | MATHERS CLINIC, LLC |
| Practice Address |
145 S Virginia St Crystal Lake IL 60014-7226 |
| Practice Telephone | 8154449999 |
| Practice Fax Number | 8159861363 |
| Mailing Telephone | 8154449999 |
| Mailing Fax Number | 8159861363 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | RAMESH B VEMURI (OWNER) |
| Authorized Official Telephone | 8154449999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities | |
| Y | 251S00000X | Community/Behavioral Health | 036054365 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457714 | Mathers Clinic, LLC | Clinic/Center | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-02-19 |
| 1215194519 | Mathers Clinic, LLC | Psychiatry & Neurology | 5804 Elaine Dr, Rockford, IL 61108-2435 | 2008-05-22 |
| Street Address |
145 S VIRGINIA ST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164508149 | Ramesh Babu Vemuri | Psychiatry & Neurology | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2006-10-31 |
| 1093320608 | Matthew Banas | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2020-09-10 |
| 1477193258 | Erin Fowler | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2020-01-09 |
| 1992359046 | Tiffany Andrae Wilson | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2019-07-27 |
| 1841777406 | Nina Teresa Catalano | Student in an Organized Health Care Education/Training Program | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-07-25 |
| 1912492752 | Reema D Patel | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-06-25 |
| 1104326149 | Deborah Ann Ropinski | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-02-16 |
| 1902318652 | Minda Anderson | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-11-02 |
| 1962926089 | Megan Schwab | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-07-31 |
| 1750804167 | Yolanta Kreklow | Nurse Practitioner | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1093102550 | Crystal Lake Wellness, LLC | Community/Behavioral Health | 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014-1400 | 2015-04-22 |
| 1386958411 | Insights Counseling Inc. | Community/Behavioral Health | 112 Virginia Rd, Crystal Lake, IL 60014-7904 | 2010-07-30 |
| 1811445679 | Claire L Brown Lcsw PC | Community/Behavioral Health | 350 E Congress Pkwy, Suite L, Crystal Lake, IL 60014-6284 | 2016-09-21 |
| 1467907170 | Kevin Khamvongsa | Community/Behavioral Health | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-08-23 |
| 1659723211 | Mathers Community Mental Health Center LLC | Community/Behavioral Health | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-07-07 |
| 1255729935 | Laura Strong LLC | Community/Behavioral Health | 8600 Us Highway 14, Ste 105, Crystal Lake, IL 60012-2706 | 2015-01-02 |
| 1700274750 | The Thresholds | Community/Behavioral Health | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2014-12-29 |
| 1265863641 | Lightrise Family Christian Counseling | Community/Behavioral Health | 265 Exchange Dr, 101b, Crystal Lake, IL 60014-6230 | 2013-12-10 |
| 1841597739 | New Life Counseling Center, Inc | Community/Behavioral Health | 600 Dakota St, Suite B, Crystal Lake, IL 60012-3742 | 2011-02-11 |
| 1578868808 | Michael T. Burns, Psy.d Ltd | Community/Behavioral Health | 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014-1400 | 2011-01-18 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.