THE THERAPLAY INSTITUTE (NPI# 1639498504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639498504 |
| Entity Type | Organization |
| Organization Name | THE THERAPLAY INSTITUTE |
| Practice Address |
2049 Ridge Ave Evanston IL 60201-2713 |
| Practice Telephone | 8472567334 |
| Practice Fax Number | 8472567337 |
| Mailing Telephone | 8472567334 |
| Mailing Fax Number | 8472567337 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | DR. JOSEPH SALAZAR SERRANO (CLINIC MANAGER) |
| Authorized Official Telephone | 8472567334 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 149010096 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740678002 | The Theraplay Institute | Social Worker | 1840 Oak Ave, Suite 320, Evanston, IL 60201-3642 | 2015-01-08 |
| Street Address |
2049 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609907179 | Midori Fujii | Social Worker | 2049 Ridge Ave, Evanston, IL 60201-2713 | 2007-03-08 |
| 1508311036 | Joseph Serrano | Counselor | 2049 Ridge Ave, Evanston, IL 60201-2713 | 2016-08-25 |
| 1346601432 | Corinne Ferguson | Social Worker | 2049 Ridge Ave, Evanston, IL 60201-2713 | 2016-03-16 |
| 1659731768 | Taylor Russell | Social Worker | 2049 Ridge Ave, Evanston, IL 60201-2713 | 2016-03-02 |
| 1134560576 | Liesl Einerson | Social Worker | 2049 Ridge Ave, The Cradle, Evanston, IL 60201-2713 | 2013-07-15 |
| 1053751339 | Judith A Stigger | Social Worker | 2049 Ridge Ave, The Cradle, Evanston, IL 60201-2713 | 2013-07-01 |
| 1154766194 | Cradle Society | Counselor | 2049 Ridge Ave, Evanston, IL 60201-2713 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1205324993 | Wolfe-g, Inc. | Community/Behavioral Health | 1740 Ridge Ave Ste 200b, Evanston, IL 60201-5903 | 2018-04-27 |
| 1912448135 | Mie Tamura | Community/Behavioral Health | 2110 Warren St, Evanston, IL 60202-1954 | 2017-03-20 |
| 1427285907 | The Counseling Center | Community/Behavioral Health | 1427 Chicago Ave, Evanston, IL 60201-4726 | 2009-06-11 |
| 1437619368 | Gray Oak Counseling LLC | Community/Behavioral Health | 2550 Crawford Ave, Evanston, IL 60201-4900 | 2019-03-25 |
| 1689189078 | John Bozeday Lcsw Ltd | Community/Behavioral Health | 708 Church St Ste 258, Evanston, IL 60201-3840 | 2017-12-06 |
| 1770952244 | Metropolitan Family Services | Community/Behavioral Health | 1285 Hartrey Ave, 10th Floor, Evanston, IL 60202-1056 | 2015-09-15 |
| 1457736993 | Dan Gill Therapy LLC | Community/Behavioral Health | 1830 Sherman Ave, #406, Evanston, IL 60201-3798 | 2015-07-27 |
| 1649670225 | Steph Meyers Counseling | Community/Behavioral Health | 636 Church St, Ste 619a, Evanston, IL 60201-4508 | 2014-09-02 |
| 1417388117 | Trilogy, Inc. | Community/Behavioral Health | 565 Howard St, Evanston, IL 60202-4014 | 2013-12-05 |
| Find all providers in EVANSTON | ||||
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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.