PRA BEHAVIORAL LLC (NPI# 1679546873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679546873 |
| Entity Type | Organization |
| Organization Name | PRA BEHAVIORAL LLC |
| Other Organization Name | PRA PSYCHIATRIC GROUP |
| Practice Address |
1701 E Woodfield Rd Suite 1000 Schaumburg IL 60173 |
| Mailing Address |
1701 E Woodfield Rd Suite 1000 Schaumburg IL 60173-5113 |
| Practice Telephone | 8472402211 |
| Practice Fax Number | 8472402418 |
| Mailing Telephone | 8472402211 |
| Mailing Fax Number | 8472402418 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | PAULA MAZLIACH COMM (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8472402211 |
| Authorized Official Credential | MA LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP NUMBER | 1633897 | 01 |
| IL | VALUE OPTIONS GRP # | 512571 | 01 |
| Other Name | Type Code |
|---|---|
| PRA Psychiatric Group | Former Legal Business Name - Organization |
| Street Address |
1701 E WOODFIELD RD SUITE 1000 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043693138 | Bradley O'reilly | Dentist | 1701 E Woodfield Rd, Ste 150, Schaumburg, IL 60173-5905 | 2015-07-07 |
| 1043536642 | Medi Link Health Services, LLC | Home Health | 1701 E Woodfield Rd, Ste 435, Schaumburg, IL 60173-5158 | 2010-04-08 |
| 1366627721 | Woodfield Surgical Center LLC | Clinic/Center | 1701 E Woodfield Rd, Suite 510, Schaumburg, IL 60173-5905 | 2008-01-04 |
| 1275713281 | Elixir Chiropractic Care Centre, PC | Chiropractor | 1701 E Woodfield Rd, Suite 640, Schaumburg, IL 60173-5131 | 2007-11-07 |
| 1912106956 | Kimberley M Latour | Dentist | 1701 E Woodfield Rd, 150, Schaumburg, IL 60173-5905 | 2007-07-11 |
| 1164624144 | Core Psychotherapy Center | Social Worker | 1701 E Woodfield Rd, Suite 814, Schaumburg, IL 60173-5905 | 2007-06-02 |
| 1174732697 | Bernard Joseph O'reilly | Dentist | 1701 E Woodfield Rd, Suite 150, Schaumburg, IL 60173-5905 | 2007-05-21 |
| 1902011190 | O'reilly Dental, LLC | Dentist | 1701 E Woodfield Rd, Suite 150, Schaumburg, IL 60173-5905 | 2007-05-11 |
| 1124233572 | Carl Phillip Mchugh | Dentist | 1701 E Woodfield Rd, Suite 150, Schaumburg, IL 60173-5905 | 2007-05-11 |
| 1235267352 | Linda J Honsa | Marriage & Family Therapist | 1701 E Woodfield Rd, Suite 321, Schaumburg, IL 60173-5905 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800600 | Daniella M Raimondi | Counselor | 1305 Remington Rd Suite U, Schaumburg, IL 60173 | 2020-01-07 |
| 1821562588 | Pathways Counseling P C. | Psychologist | 937 N. Plum Grove Rd., Suite D, Schaumburg, IL 60173 | 2019-01-16 |
| 1346741931 | Rebecca E Montgomery, D.d.s., P.C. | Dentist | 1501 E. Woodfield Rd., Suite 100e, Schaumburg, IL 60173 | 2018-02-28 |
| 1508364431 | Joseph Mazzei Sc | Clinic/Center | 1827 Walden Office Sq Ste 250, Schaumburg, IL 60173 | 2018-01-25 |
| 1093234098 | Bridgette Koukos | Counselor | Fair Counseling, 2010 E Algonquin Rd, Suite 206, Schaumburg, IL 60173 | 2017-09-12 |
| 1467970095 | Julie Sweeney | Social Worker | 650 E. Algonquin Rd. Suite 108, Schaumburg, IL 60173 | 2017-09-04 |
| 1952781189 | Riismaa Psychological Services, Inc. | Psychologist | 1325 Remington Road, Suite R, Schaumburg, IL 60173 | 2015-06-03 |
| 1306239736 | Lana Batinic | Counselor | 1305 Remington Rd Ste U, Schaumburg, IL 60173 | 2015-03-10 |
| 1265824734 | Elgin Medical Pain Management | Anesthesiology | 1037 E Woodfield Rd., Schaumburg, IL 60173 | 2015-02-20 |
| 1891127395 | Kristen Lee Nicholls | Nurse Practitioner | 943 N. Plum Grove Road, Suite B, Schaumburg, IL 60173 | 2013-08-07 |
| Find all providers in zip 60173 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892584 | Amanda Skierkiewicz | Counselor | 1933 N Meacham Rd Ste 750, Schaumburg, IL 60173-4363 | 2019-03-28 |
| 1720550999 | Lara Garwood-martin | Counselor | 715 E Golf Rd Ste 200a1, Schaumburg, IL 60173-4595 | 2018-12-27 |
| 1144707290 | Valerie Michelle Farmer | Counselor | 1900 Mora Ct Apt 101, Schaumburg, IL 60193-5138 | 2018-07-22 |
| 1205353281 | Geraldine Wetzel | Counselor | 650 E Algonquin Rd Ste 108, Schaumburg, IL 60173-3853 | 2017-08-29 |
| 1649797085 | Nicola Bellantuono | Counselor | 1015 W Wise Rd Ste 200, Schaumburg, IL 60193-3777 | 2017-08-26 |
| 1336697333 | Mary Cloonan Walsh | Counselor | 1913 Windsong Dr, Schaumburg, IL 60194-4417 | 2016-09-19 |
| 1982091328 | Daniela Petrova | Counselor | 850 E Higgins Rd # F, Suite 125 J, Schaumburg, IL 60173-5142 | 2015-04-23 |
| 1447655733 | Isabell Ciszewski | Counselor | 118 Cumberland Dr, Schaumburg, IL 60194 | 2014-10-29 |
| 1336549534 | Anna Mccaffrey | Counselor | 1101 Perimeter Dr Ste 450, Schaumburg, IL 60173-5069 | 2014-08-26 |
| 1063821049 | Tarah Galloway | Counselor | 721 Cambridge Dr, Schaumburg, IL 60193-2664 | 2014-08-04 |
| Find all providers in SCHAUMBURG | ||||
| City | SCHAUMBURG |
| Zip Code | 60173 |
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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.