TAMMY A DEVRIES (NPI# 1912418526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912418526 |
| Entity Type | Individual |
| Full Name | TAMMY A DEVRIES |
| Practice Address |
585 Tollgate Rd Elgin IL 60123-9323 |
| Mailing Address |
669 Acadia Cir Crystal Lake IL 60014-1915 |
| Practice Telephone | 8158612006 |
| Mailing Telephone | 8158612006 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19865 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1164508149 | 05 |
| Street Address |
585 TOLLGATE RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457714 | Mathers Clinic, LLC | Clinic/Center | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-02-19 |
| 1083252480 | Mathers Recovery LLC | Psychiatry & Neurology | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2019-12-16 |
| 1932614088 | Yolanda Daniels | Counselor | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2017-12-12 |
| 1548771165 | Gerald Haught | Counselor | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2017-10-23 |
| 1639614175 | Mathers Recovery LLC | Community/Behavioral Health | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-12-19 |
| 1649714320 | Sandra Shakro | Specialist | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-12-14 |
| 1265884837 | Mathers Community Mental Health Center LLC | Community/Behavioral Health | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-07-07 |
| 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 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564095 | Eliza K Adams | Counselor | 107 Stonehurst Dr, Elgin, IL 60120-4661 | 2019-08-23 |
| 1003356742 | Anthony Dillard Sr. | Counselor | 995 Bode Rd, Elgin, IL 60120-4523 | 2017-02-28 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1245417302 | Debra K. Hirschberg and Associates, Inc. | Counselor | 109 Hill Ave, Elgin, IL 60120-4412 | 2008-01-30 |
| 1598882854 | Courtney Jahn | Counselor | 675 Varsity Dr, Elgin, IL 60120-8176 | 2007-03-23 |
| 1629194501 | Deborah Mary Mcellin | Counselor | 675 Varsity Drive, Elgin, IL 60120-8176 | 2007-03-22 |
| 1528107950 | Luanne Maniacek | Counselor | 2050 Larkin Ave., Suite 202, Elgin, IL 60123-0000 | 2007-02-05 |
| 1124031653 | Karen S Chesney | Counselor | 551 Tollgate Rd Ste F, Elgin, IL 60123-9357 | 2006-08-14 |
| 1225643174 | Jay Jackson Swanson | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-08 |
| 1295380277 | Waseem Khalaf | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-08-06 |
| Find all providers in ELGIN | ||||
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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.