PROFESSIONAL FAMILY SOLUTIONS (NPI# 1851923759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851923759 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL FAMILY SOLUTIONS |
| Practice Address |
501 N Riverside Dr Ste 207 Gurnee IL 60031-5918 |
| Mailing Address |
1283 Edgewood Rd Lake Forest IL 60045-1310 |
| Practice Telephone | 8475083130 |
| Mailing Telephone | 8472343131 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-09 |
| Authorized Official Name | MRS. BRENDA MARWEDE (OWNER) |
| Authorized Official Telephone | 8475083130 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584093 | Professional Family Solutions | Social Worker | 514 N California Ave, Beaumont, CA 92223-2113 | 2020-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROFESSIONAL FAMILY SOLUTIONS LLC | 501 N Riverside Dr Ste 207, Gurnee, IL 60031-5918 |
| Street Address |
501 N RIVERSIDE DR STE 207 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5918 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849791 | Matthew King | Psychologist | 2500 Galen Dr Ste 4, Champaign, IL 61821-7050 | 2020-10-17 |
| 1790392439 | Julie Kopf | Psychologist | 1301 S Prospect Ave, Park Ridge, IL 60068-5344 | 2020-09-27 |
| 1568088771 | Psychological Services Center Inc. | Psychologist | 3110 N Sheffield Ave, Chicago, IL 60657-6700 | 2020-06-23 |
| 1124652185 | Soffiya A Siddiqui | Psychologist | 3124 Treesdale Ct, Naperville, IL 60564-4609 | 2020-02-28 |
| 1902437510 | Philip James Cooke | Psychologist | 25 E Washington St Ste 1506, Chicago, IL 60602-1849 | 2020-02-01 |
| 1356971170 | Greenpath Clinic | Psychologist | 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 | 2020-01-21 |
| 1356971527 | Nubia Janette Guzman | Psychologist | 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 | 2020-01-16 |
| 1750921078 | Insights Therapeutic Services, LLC | Psychologist | 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 | 2020-01-15 |
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 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.