ELGIN MENTAL HEALTH CENTER FTP K&L 4563 (NPI# 1891819322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891819322 |
| Entity Type | Organization |
| Organization Name | ELGIN MENTAL HEALTH CENTER FTP K&L 4563 |
| Practice Address |
750 S State St Elgin IL 60123-7612 |
| Practice Telephone | 8477421040 |
| Practice Fax Number | 8474294910 |
| Mailing Telephone | 8477421040 |
| Mailing Fax Number | 8474294910 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAUL S. ALMAZAR (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 8477421040 |
| Authorized Official Credential | RN, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Street Address |
750 S STATE ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201090 | Philip E Mahalik | Pharmacist | 750 S State St, Rehab Bldg # 210, Elgin, IL 60123-7612 | 2005-08-10 |
| 1184086456 | Christopher Thomas Sullivan | Psychiatry & Neurology | 750 S State St, Elgin, IL 60123-7692 | 2016-03-24 |
| 1124345269 | Paul Dean Lazazzera | Dentist | 750 S State St, Elgin, IL 60123-7612 | 2010-04-29 |
| 1235465857 | Carolyn Marie Trelka-rojas | Internal Medicine | 750 S State St, Elgin, IL 60123-7612 | 2009-11-02 |
| 1619198918 | Changgeum Kang | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-05-02 |
| 1972721686 | Pomposa L Crisostomo | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-20 |
| 1407072960 | Keum Za Park | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-04-17 |
| 1841416245 | Mohammad Sajid Hosain | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-17 |
| 1467575969 | Arturo O Fogata | Psychiatry & Neurology | 750 S State St, Elgin, IL 60123-7612 | 2007-04-09 |
| 1982725172 | Satyanarayana Gaddipati | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1477677235 | Elgin Mental Health Center Ftp H&i 4562 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1659495414 | Elgin Mental Health Center Ftp F&g 4561 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1316061187 | Elgin Mental Health Center Hartman 4564 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1073637872 | Elgin Mental Health Center Ftp M&n 4581 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-19 |
| 1174647929 | Elgin Mental Health Center Hinton 4485 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1366566887 | Elgin Mental Health Center Brunk 4495 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1578687000 | Elgin Mental Health Center Pinel 4565 | Psychiatric Unit | 750 S State St, Elgin, IL 60123-7612 | 2007-03-19 |
| 1568538387 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 77 N Airlite St, Elgin, IL 60123-4912 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| 1891887030 | Mental Health and Deafness Resources, Inc. | Psychiatric Unit | 614 Anthony Trl, Northbrook, IL 60062-2540 | 2006-09-28 |
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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.