ADAM HELLEBRAND (NPI# 1891149431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891149431 |
| Entity Type | Individual |
| Full Name | ADAM HELLEBRAND |
| Credential | PSYD |
| Practice Address |
4709 Golf Rd Ste 925 Skokie IL 60076 |
| Mailing Address |
4709 Golf Rd Ste 925 Skokie IL 60076-1260 |
| Practice Telephone | 3124670000 |
| Practice Fax Number | 3124670000 |
| Mailing Telephone | 3128603943 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071010010 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 W 4th St, Antioch, CA 945091024 | 3128603943 | |
| 405 N Wabash Ave Unit 3209, Chicago, IL 606115675 | 3124670000 | 3126470000 |
| Street Address |
4709 GOLF RD STE 925 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508986308 | Corey Neil Goldstein | Emergency Medicine | 4709 Golf Rd Ste 925, Skokie, IL 60076-1231 | 2007-03-29 |
| 1194296988 | Tiffany Owen | Counselor | 4709 Golf Rd Ste 925, Skokie, IL 60076-1260 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258808 | Cleminson Psychological Services, LLC | Psychologist | 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 | 2020-03-03 |
| 1427575380 | Heather Stephenson | Psychologist | 9501 Lawler Ave, Skokie, IL 60077-1274 | 2017-08-23 |
| 1376071886 | Marla Debra Miller | Psychologist | 4040 Enfield Ave, Skokie, IL 60076-1934 | 2017-05-28 |
| 1790152635 | Jessica Ellen Dubnow | Psychologist | 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 | 2015-08-26 |
| 1770830275 | David N. Gershan | Psychologist | 8053 Kolmar Ave, Skokie, IL 60076-3114 | 2012-08-14 |
| 1326326778 | Patricia S Cochran | Psychologist | 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 | 2011-08-02 |
| 1962719013 | Paul Thomas Riel | Psychologist | 8540 Leclaire St, Skokie, IL 60077-2135 | 2010-09-10 |
| 1750569224 | Mary Frances Schneider | Psychologist | 5323 Galitz St, Skokie, IL 60077-2712 | 2008-02-06 |
| 1598944530 | Laura S. Trakhtman | Psychologist | 8936 Niles Center Rd # D, Skokie, IL 60076-1847 | 2007-10-26 |
| 1780885772 | Nydia Lelia Welles | Psychologist | 4019 Church St, Skokie, IL 60076-1773 | 2007-05-29 |
| Find all providers in SKOKIE | ||||
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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.