AUTHENTIC SELF PSYCHOLOGICAL SERVICES INC. (NPI# 1811366511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811366511 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC SELF PSYCHOLOGICAL SERVICES INC. |
| Practice Address |
3255 N Arlington Heights Rd Ste 502 Arlington Heights IL 60004-1586 |
| Practice Telephone | 8473733357 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | DR. AFRICA L RAINEY (PRESIDENT) |
| Authorized Official Telephone | 8473733357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 180007376 | IL | Agencies |
| Street Address |
3255 N ARLINGTON HEIGHTS RD STE 502 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649283201 | Deborah J. Lancaster | Social Worker | 3255 N Arlington Heights Rd, Suite 502, Arlington Heights, IL 60004-1586 | 2006-08-14 |
| 1831643907 | Mindworks, Inc. | Social Worker | 3255 N Arlington Heights Rd, Suite 512, Arlington Heights, IL 60004-1586 | 2016-08-06 |
| 1497164644 | Debbie Gross, Lcsw Ltd. | Social Worker | 3255 N Arlington Heights Rd, Suite 502, Arlington Heights, IL 60004-1586 | 2014-08-12 |
| 1588925903 | Reflections Psychotherapy, Inc | Social Worker | 3255 N Arlington Heights Rd, Suite 512, Arlington Heights, IL 60004-1586 | 2012-06-01 |
| 1346506599 | Rebecca Ann Kiel | Counselor | 3255 N Arlington Heights Rd, Suite 512, Arlington Heights, IL 60004-1586 | 2012-04-02 |
| 1457655417 | Mindi Beth Thomas | Social Worker | 3255 N Arlington Heights Rd, Suite 512, Arlington Heights, IL 60004-1586 | 2011-01-06 |
| 1407188048 | Ali R. Hearn | Social Worker | 3255 N Arlington Heights Rd, Suite # 502, Arlington Heights, IL 60004-1586 | 2010-02-08 |
| 1316178387 | Family Resilience Group, LLC | Social Worker | 3255 N Arlington Heights Rd, Suite 502, Arlington Heights, IL 60004-1586 | 2009-08-07 |
| 1952530321 | Jean Kim-snyder | Social Worker | 3255 N Arlington Heights Rd, 502, Arlington Heights, IL 60004-1586 | 2009-07-07 |
| 1306980545 | Sandra Joy Levy | Social Worker | 3255 N Arlington Heights Rd, 502, Arlington Heights, IL 60004-1586 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| 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 |
|---|---|---|---|---|
| 1659736197 | Ortensia Napolitano, LLC | Community/Behavioral Health | 2015 S Arlington Heights Rd Ste 118a, Arlington Heights, IL 60005-4150 | 2015-12-29 |
| 1790125417 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 N. Kaspar, 2c, Arlington Heights, IL 60005 | 2013-06-26 |
| 1295179877 | Metropolitan Family Services | Community/Behavioral Health | 3365 N Arlington Heights Rd, Suite L, Arlington Heights, IL 60004-7700 | 2013-04-25 |
| 1710224951 | Mgb Services, Inc. | Community/Behavioral Health | 2803 N Windsor Dr, Arlington Heights, IL 60004-2141 | 2013-01-08 |
| 1831470251 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 332 N Salem Ave, 4c, Arlington Heights, IL 60005-1395 | 2011-08-30 |
| 1578844999 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 N Kaspar Ave, 2b, Arlington Heights, IL 60005-1282 | 2011-08-30 |
| 1144500109 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 1208 E Northwest Hwy, Arlington Heights, IL 60004-6793 | 2011-08-23 |
| 1811207251 | Adult Counseling Center, Inc. | Community/Behavioral Health | 415 E Golf Rd Ste 104, Arlington Heights, IL 60005-4049 | 2010-10-19 |
| 1912210667 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 Kaspar, 1c, Arlington Heights, IL 60005-1089 | 2010-07-23 |
| 1457664146 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 332 N. Salem, 3g, Arlington Heights, IL 60005-1089 | 2010-07-22 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
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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.