PHOENIX BEHAVIORAL SERVICES, INC (NPI# 1679997266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679997266 |
| Entity Type | Organization |
| Organization Name | PHOENIX BEHAVIORAL SERVICES, INC |
| Practice Address |
4649 147th Street Midlothian IL 60445 |
| Practice Telephone | 7089262789 |
| Practice Fax Number | 7089262797 |
| Mailing Telephone | 7089262789 |
| Mailing Fax Number | 7089262797 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | JAMES GOLDING (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7089262789 |
| Authorized Official Credential | MSW, MHS, CAADC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | A58510002A | IL | Agencies |
| Street Address |
4649 147TH STREET |
| City | MIDLOTHIAN |
| State | IL |
| Zip Code | 60445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
| 1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
| 1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
| 1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
| 1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
| 1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
| 1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
| 1295884450 | Robert W Gentile | Dentist | 4753 W 138th Street, Crestwood, IL 60445 | 2007-01-09 |
| Find all providers in zip 60445 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472766 | Ikoot Inc | Case Management | 9212 Miranda Ln, Midlothian, VA 23112-6919 | 2020-03-18 |
| 1871130112 | Jackie Glen Johnson | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2019-12-05 |
| 1104292721 | Hattie's Way | Case Management | 12220 Chattanooga Plz, Midlothian, VA 23112-4865 | 2015-08-18 |
| 1598131674 | Toddlers To Grandparents, LLC | Case Management | 4439 Old Fox Trl, Midlothian, VA 23112-4750 | 2015-08-12 |
| 1871990176 | Assurance LLC | Case Management | 12220 Chattanooga Plaza, #173, Midlothian, VA 23112 | 2014-12-02 |
| 1255736468 | A Tender Heart | Case Management | 11606 New Forest Trl, Midlothian, VA 23112-3080 | 2014-10-30 |
| 1457751141 | Mary Ann Powell | Case Management | 12220 Chattanooga Plaza, #173, Midlothian, VA 23112 | 2014-08-29 |
| 1730704164 | Mighty Men of Valor Limited Liability Company | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505074 | Next Generation Child and Parent Center Nfp | Case Management | 1649 E 50th St Apt 2a, Chicago, IL 60615-6016 | 2020-10-12 |
| 1447866900 | Central Illinois Friends of Pwa, Inc. | Case Management | 120 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-4315 | 2020-09-21 |
| 1629689260 | Shelter, Inc | Case Management | 1616 N Arlington Heights Rd Ste 203, Arlington Heights, IL 60004-3980 | 2020-08-16 |
| 1336758481 | Care Relief LLC | Case Management | 2323 W Pershing Rd Apt 221, Chicago, IL 60609-2230 | 2020-07-24 |
| 1275151649 | Tamarah Carpenter | Case Management | 1508 Lincoln Pl, Calumet City, IL 60409-6229 | 2020-07-11 |
| 1336760156 | Sonarmd, Inc | Case Management | 350 N Orleans St Ste 9000, Chicago, IL 60654-1975 | 2020-05-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1972140960 | Jasmine Healthcare Management LLC | Case Management | 1507 E 53rd St Unit 247, Chicago, IL 60615-4573 | 2019-12-09 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1851957153 | Caring Hands Wellness, LLC | Case Management | 837 Hamlin Ave, Flossmoor, IL 60422-1045 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 60445 |
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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.