PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1508034349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508034349 |
| Entity Type | Organization |
| Organization Name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Practice Address |
2319 S Damen Ave Chicago IL 60608-4209 |
| Practice Telephone | 7735790832 |
| Practice Fax Number | 7735790762 |
| Mailing Telephone | 7735790832 |
| Mailing Fax Number | 7735790762 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MR. FRANCISCO CISNEROS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7735790832 |
| Authorized Official Credential | MA, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A-0155-0001-A | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | A-0155-0001-A | 05 | |
| IL | STATE CONTRACTS | A-0155-0001-A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225418577 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2600 Ridgeland Ave, Berwyn, IL 60402-2725 | 2015-06-02 |
| 1154744480 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 1518 E 63rd St, Chicago, IL 60637-2921 | 2014-01-22 |
| 1073781811 | Pilsen-little Village Community Mental Health Center, Inc. | Case Management | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| 1578787644 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3113 W Cermak Rd, Chicago, IL 60623-3449 | 2007-04-12 |
| 1245854389 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2938 E 89th St, Chicago, IL 60617-3244 | 2020-06-04 |
| 1932577780 | Pilsen-little Village Community Mental Health Center, Inc. | Community/Behavioral Health | 2001 S California Ave, Chicago, IL 60608-2486 | 2015-09-10 |
| 1114394624 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2015-09-01 |
| 1003283540 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2015-09-01 |
| 1568839090 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3232 W 55th St, Chicago, IL 60632-2638 | 2015-09-01 |
| Street Address |
2319 S DAMEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073781811 | Pilsen-little Village Community Mental Health Center, Inc. | Case Management | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2008-02-14 |
| 1588277479 | Jesus Edgar Suarez Ramos | Counselor | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2020-08-28 |
| 1003283540 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 2319 S Damen Ave, Chicago, IL 60608-4209 | 2015-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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.