ASSOCIATES IN CLINICAL SERVICES (NPI# 1790846749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790846749 |
Entity Type | Organization |
Organization Name | ASSOCIATES IN CLINICAL SERVICES |
Other Organization Name | DR PATRICK BERKOS |
Practice Address |
215 S 4th Ave St Charles IL 60174 |
Mailing Address |
39 W 635 Loretta Dr St Charles IL 60175 |
Practice Telephone | 6303773450 |
Mailing Telephone | 6303773450 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. ELIZABETH DEBEIR BERKOS (CO OWNER SECRETARY) |
Authorized Official Telephone | 6303771812 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | IL BLUE CROSS | 04515191 | 01 |
Other Name | Type Code |
---|---|
Dr Patrick Berkos | Doing Business As Name - Organization |
Street Address |
215 S 4TH AVE |
City | ST CHARLES |
State | IL |
Zip Code | 60174 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073880803 | John H. Perryman, Md, LLC | Pediatrics | 215 S 4th Ave, St Charles, IL 60174-2913 | 2011-11-22 |
1467730622 | Lighthouse Behavioral Health, LLC | Community/Behavioral Health | 215 S 4th Ave, St Charles, IL 60174-2913 | 2011-07-21 |
1871793687 | Patrick J. Berkos | Psychologist | 215 S 4th Ave, St Charles, IL 60174-2913 | 2007-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
Find all providers in zip 60174 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265792097 | Maegan Jenkins | Psychologist | 525 Dunham Rd Ste 55, St Charles, IL 60174-1490 | 2012-05-27 |
1780981605 | Jesse Sekey | Psychologist | 1121 E Main St Ste 320, St Charles, IL 60174-2276 | 2011-02-14 |
1811042021 | Thomas Alden Blood | Psychologist | 39w870 Deer Run Dr, St Charles, IL 60175-6910 | 2007-01-25 |
1356455505 | Michael Pica | Psychologist | 3381 W Main St, Suite 1, St Charles, IL 60175-1008 | 2006-08-17 |
1033732003 | Alter Clinical Services LLC | Psychologist | 100 Illinois St Ste 200, St Charles, IL 60174-1867 | 2020-05-25 |
1801369848 | Toussaint David Whetstone | Psychologist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-01-02 |
1801375209 | Cognitive Behavioral Care Incorporated | Psychologist | 525 Dunham Rd Ste 55, St Charles, IL 60174-1490 | 2018-08-07 |
1205358579 | Associates for Innovative Change | Psychologist | 210 S 5th St Ste 103, St Charles, IL 60174-2700 | 2017-07-08 |
1558816371 | Olesia Shalayska | Psychologist | 4n701 School Rd Ste A, St Charles, IL 60175 | 2016-08-22 |
1508266313 | Natalie A Pamphile | Psychologist | 2210 Dean St, Suite I, St Charles, IL 60175-1066 | 2014-08-28 |
Find all providers in ST CHARLES |
City | ST CHARLES |
Zip Code | 60174 |
Please comment or provide details below to improve the information on ASSOCIATES IN CLINICAL SERVICES.
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.