BEHAVIORAL SERVICES CENTER (NPI# 1679960496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679960496 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL SERVICES CENTER |
| Practice Address |
310 S Greenleaf St Ste 205 Gurnee IL 60031-5708 |
| Mailing Address |
8707 Skokie Blvd Ste 207 Skokie IL 60077-2272 |
| Practice Telephone | 8476738577 |
| Mailing Telephone | 8476738577 |
| Mailing Fax Number | 8475680411 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | DR. EUGENE ISYANOV (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8476738577 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5101 Washington St Ste 11, Gurnee, IL 600312988 | 8476738577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483456 | Behavioral Services Center | Case Management | 161 N Clark St Ste 4700, Chicago, IL 60601-3201 | 2016-04-25 |
| 1134574361 | Behavioral Services Center | Case Management | 188 W Industrial Dr Ste 100, Elmhurst, IL 60126-1608 | 2016-04-25 |
| 1043665276 | Behavioral Services Center | Clinic/Center | 25975 N Diamond Lake Rd Ste 111, Mundelein, IL 60060-9400 | 2016-04-25 |
| 1952726010 | Behavioral Services Center | Clinic/Center | 25975 N Diamond Lake Rd, Suite111, Mundelein, IL 60060-9400 | 2014-02-26 |
| 1962857193 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031 | 2016-04-25 |
| 1801273446 | Behavioral Services Center | Clinic/Center | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2015-05-04 |
| 1013304781 | Behavioral Services Center | Case Management | 161 N Clark St, Chicago, IL 60601-3206 | 2015-04-21 |
| 1063837128 | Behavioral Services Center | Case Management | 188 W Industrial Dr, Suite 100, Elmhurst, IL 60126-1623 | 2014-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL SERVICES CENTER | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 |
| Street Address |
310 S GREENLEAF ST STE 205 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837017 | Midwest Consultants for Cognitive Medicine, LLC | Clinical Neuropsychologist | 310 S Greenleaf St Ste 205, Gurnee, IL 60031-5708 | 2010-08-03 |
| 1962857193 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| 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 |
|---|---|---|---|---|
| 1780960666 | Nature First Medical Clinic, Sc | Community/Behavioral Health | 1800 Nations Drive Suite 112, Gurnee, IL 60031-9168 | 2011-10-24 |
| 1841735966 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Suites 200 & 202, Gurnee, IL 60031-2767 | 2016-12-28 |
| 1306292248 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2016-05-10 |
| 1689946410 | Warren Township | Community/Behavioral Health | 100 S Greenleaf St, Gurnee, IL 60031-3378 | 2012-02-09 |
| 1093985558 | Weckler & Associates, Ltd | Community/Behavioral Health | 68 Ambrogio Dr, Suite 101, Gurnee, IL 60031-3339 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.