MOUNT SINAI COMMUNITY FOUNDATION (NPI# 1659821403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659821403 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Other Organization Name | SMG ST. CASIMIR |
| Practice Address |
2601 W Marquette Rd Chicago IL 60629-1817 |
| Practice Telephone | 7735652550 |
| Practice Fax Number | 7736562570 |
| Mailing Telephone | 7735652550 |
| Mailing Fax Number | 7736562570 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | DEBORAH CAPUTO (MANAGER) |
| Authorized Official Telephone | 7732572905 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG St. Casimir | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1609072313 | Mount Sinai Community Foundation | Psychiatric Hospital | 2040 W Washington Blvd, Chicago, IL 60612-2429 | 2007-06-21 |
| 1649318148 | Mount Sinai Community Foundation | Surgery | 2720 W. 15th, Chicago, IL 60608-1647 | 2007-02-05 |
| 1952449456 | Mount Sinai Community Foundation | Internal Medicine | 2901 W Touhy Ave, Chicago, IL 60645-2937 | 2007-02-05 |
| 1679611628 | Mount Sinai Community Foundation | Internal Medicine | 2720 W 15th, Chicago, IL 60608-1647 | 2007-02-02 |
| 1144383084 | Mount Sinai Community Foundation | Internal Medicine | 3111 W Armitage Ave, Chicago, IL 60647-3818 | 2006-12-19 |
| 1851454698 | Mount Sinai Community Foundation | Internal Medicine | 2218 S. Michigan Ave, Smg Lakeside Medical Center, Chicago, IL 60616-2189 | 2006-12-19 |
| 1134164841 | Mount Sinai Community Foundation | Family Medicine | 1400 E. Golf Rd, Suite 118, Des Plaines, IL 60016 | 2006-06-17 |
| 1497374805 | Mount Sinai Community Foundation | Clinic/Center | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2020-04-15 |
| 1720538572 | Mount Sinai Community Foundation | Internal Medicine | 4318 S State St, Chicago, IL 60609-3701 | 2016-10-05 |
| Street Address |
2601 W MARQUETTE RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278559 | Veronica Lopez | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2015-10-22 |
| 1811505811 | Jessica Garcia-otero | Nurse Practitioner | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2020-07-16 |
| 1578196176 | Shannon Marie Oreilly | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2020-02-21 |
| 1477100436 | Michael Yitref | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-08-23 |
| 1275195109 | Alexandria Simone Buckley | Clinic/Center | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-07-01 |
| 1629633003 | Hannah Swenson | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-05-01 |
| 1336703370 | Mike Schuetter | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-04-25 |
| 1518429471 | Nadia Neimanas | Social Worker | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2019-04-01 |
| 1457829285 | Margarita Rivera Leon | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2018-11-09 |
| 1144707365 | Kelsha Reyes | Counselor | 2601 W Marquette Rd, Chicago, IL 60629-1817 | 2018-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| 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.