MR. RENE WILLIAM FUENTES (NPI# 1679859714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679859714 |
| Entity Type | Individual |
| Full Name | MR. RENE WILLIAM FUENTES |
| Practice Address |
4150 W 55th St Chicago IL 60632-4242 |
| Practice Telephone | 3127471020 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
4150 W 55TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474993 | Chicago Department of Public Health | Clinic/Center | 4150 W 55th St, Greater Lawn Mental Health Center, Chicago, IL 60632-4242 | 2005-08-15 |
| 1891350070 | Lorena Oviedo | Counselor | 4150 W 55th St, Chicago, IL 60632-4242 | 2019-05-03 |
| 1366918583 | Maria Molina | Counselor | 4150 W 55th St, Chicago, IL 60632-4242 | 2018-10-15 |
| 1245517101 | Nelly Rasmussen | Case Management | 4150 W 55th St, Chicago, IL 60632-4242 | 2011-11-07 |
| 1023393485 | City of Chicago: Greater Lawn Community Mental Health Center | Community/Behavioral Health | 4150 W 55th St, Chicago, IL 60632-4242 | 2011-10-18 |
| 1003125626 | Greater Lawn Mental Health Center | Community/Behavioral Health | 4150 W 55th St, Chicago, IL 60632-4242 | 2010-09-30 |
| 1326355066 | Sarah Allen | Student in an Organized Health Care Education/Training Program | 4150 W 55th St, Chicago, IL 60632-4242 | 2010-09-01 |
| 1922314848 | Kimberly Ann Mccue | Student in an Organized Health Care Education/Training Program | 4150 W 55th St, Greater Lawn Mental Health Center, Chicago, IL 60632-4242 | 2010-08-30 |
| 1639485568 | Eren Roubal | Student in an Organized Health Care Education/Training Program | 4150 W 55th St, Chicago, IL 60632-4242 | 2010-08-30 |
| 1497076020 | Michele Howard | Counselor | 4150 W 55th St, Chicago, IL 60632-4242 | 2010-06-17 |
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|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1104468800 | Emotion-focused Therapy Chicago, LLC | Psychologist | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 |
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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.