PRESENCE BEHAVIORAL HEALTH (NPI# 1497902761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497902761 |
| Entity Type | Organization |
| Organization Name | PRESENCE BEHAVIORAL HEALTH |
| Other Organization Name | PROCARE CENTERS |
| Practice Address |
1414 Main St Melrose Park IL 60160-3902 |
| Mailing Address |
1820 S 25th Ave Broadview IL 60155-2864 |
| Practice Telephone | 7086812324 |
| Practice Fax Number | 7083455496 |
| Mailing Telephone | 7083383806 |
| Mailing Fax Number | 7086811289 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | MRS. KRISTIN KAMISKI (MANAGER, GENERAL ACCOUNTING) |
| Authorized Official Telephone | 7083383806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
========= | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1616027 | 01 |
| Other Name | Type Code |
|---|---|
| ProCare Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285596 | Presence Behavioral Health | Clinic/Center | 117 S 6th Ave, Maywood, IL 60153-1377 | 2008-08-19 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1629224662 | Presence Behavioral Health | Clinic/Center | 611 N 2nd Ave, Maywood, IL 60153-1111 | 2008-08-11 |
| 1033365010 | Presence Behavioral Health | Clinic/Center | 537 Des Plaines Ave, Forest Park, IL 60130-1859 | 2008-08-11 |
| 1083141493 | Presence Behavioral Health | Community/Behavioral Health | 1127 N Oakley Blvd, Nfc Bldg 3rd Floor, Chicago, IL 60622-3507 | 2017-05-16 |
| 1578919247 | Presence Behavioral Health | Clinic/Center | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-11 |
| 1841646122 | Presence Behavioral Health | Community/Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-05 |
| 1558625277 | Presence Behavioral Health | Clinic/Center | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2012-06-27 |
| 1649427774 | Presence Behavioral Health | Clinic/Center | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2008-08-20 |
| 1780831057 | Presence Behavioral Health | Clinic/Center | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| Street Address |
1414 MAIN ST |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997193 | Anjali Dinesh Nair | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-21 |
| 1821603671 | Kehinde O Oyinloye | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1093320814 | Shaquita Ramey | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1821602723 | Yenisis Delossantos | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-08 |
| 1548871379 | Evelyn Darlene Simmons | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-08-14 |
| 1730707050 | Dianne E Lozano | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-13 |
| 1346867744 | Luz Luna | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-01 |
| 1396362166 | Felix Gatica | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-06-28 |
| 1992320485 | Mayra Diaz | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-06-10 |
| 1982243283 | Asmat Khan | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1114394624 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2015-09-01 |
| 1316384597 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1115 N 23rd Ave, Melrose Park, IL 60160-3139 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.