PREFERRED BEHAVIORAL HEALTH MSO, INC.


Address: 141 Market Pl Ste 100, Fairview Heights, IL 62208-2089
Phone: 6183984226

PREFERRED BEHAVIORAL HEALTH MSO, INC. (NPI# 1962014472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962014472
Entity Type Organization
Organization Name PREFERRED BEHAVIORAL HEALTH MSO, INC.
Practice Address 141 Market Pl Ste 100
Fairview Heights
IL 62208-2089
Practice Telephone 6183984226
Practice Fax Number 6183981759
Mailing Telephone 6183984226
Mailing Fax Number 6183981759
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Authorized Official Name RYAN W MORRIS (PRESIDENT)
Authorized Official Telephone 2172427718
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
ITIC SUPPORT SERVICES, INC. Former Legal Business Name - Organization
PREFERRED BEHAVIORAL HEALTH Doing Business As Name - Organization

Office Location

Street Address 141 MARKET PL STE 100
City FAIRVIEW HEIGHTS
State IL
Zip Code 62208-2089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164929055 Itic Support Services Inc Psychiatry & Neurology 141 Market Pl Ste 100, Fairview Heights, IL 62208 2018-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740829647 Stephanie Lynn Arzavala-reed Counselor 8.5 Canty Lane, Fairview Heights, IL 62208 2019-12-26
1649822156 Preferred Behavioral Health Community/Behavioral Health 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 2019-07-15
1023525102 Karen E. Reinacher Speech-Language Pathologist 21 Circle Dr., Fairview Heights, IL 62208 2018-01-10
1316465297 Rachel Moser Behavioral Analyst 9510 St. Clair Ave, Fairview Heights, IL 62208 2017-08-31
1952826471 Tomika Eiland Social Worker 413 David Dr, Fairview Heights, IL 62208 2017-08-05
1194113852 Rachel Logan Social Worker 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 2015-01-05
1255746715 Center for Advanced Medicine LLC Internal Medicine 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 2014-06-24
1033463393 Katherine Johnson I Physical Therapy Assistant 320 N Ruby Ln, Fairview Heights, IL 62208 2012-11-07
1508118779 Nicole Kovacic Physical Therapy Assistant 5501 Perrin Drive, Fairview Heights, IL 62208 2012-10-11
1104140821 Lindsay Wilson Physician Assistant 5031 N. Illinois St, O'fallon, IL 62208 2010-03-24
Find all providers in zip 62208

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952826471 Tomika Eiland Social Worker 413 David Dr, Fairview Heights, IL 62208 2017-08-05
1558809962 Kelli Silhavy Social Worker 830 Saybrook Falls Dr, Fairview Heights, IL 62208-2169 2017-02-06
1265808612 Chester A Carothers Jr. Social Worker 10314 Lincoln Trl Ste 106, Fairview Heights, IL 62208-1801 2015-08-19
1194113852 Rachel Logan Social Worker 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 2015-01-05
1801038765 Theresa Goscinski Social Worker 5409 Wake Forest Dr, Fairview Heights, IL 62208-3970 2009-03-24
1891330155 Haley Christine Simpson Social Worker 8 Executive Dr Ste 200, Fairview Heights, IL 62208-1350 2019-11-11
1871152660 Amanda Elizabeth Hutchinson Social Worker 8 Executive Dr, Fairview Heights, IL 62208-1345 2019-06-06
1427394485 Marian A Jackson Social Worker 125 N Ruby Ln, Fairview Heights, IL 62208-1926 2012-12-19
1164715918 Patricia Mary Jean Mosbacher Social Worker 125 N Ruby Ln, Fairview Heights, IL 62208-1926 2011-05-25
1538476742 Stephen Frazier Social Worker 125 N Ruby Ln, Fairview Heights, IL 62208-1926 2010-09-09
Find all providers in FAIRVIEW HEIGHTS

Competitor

Search similar providers

City FAIRVIEW HEIGHTS
Zip Code 62208

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Dataset Information

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.

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