LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER (NPI# 1043308943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043308943 |
| Entity Type | Organization |
| Organization Name | LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER |
| Practice Address |
10001 Grand Avenue Franklin Park IL 60131 |
| Practice Telephone | 8474510330 |
| Mailing Telephone | 8474510330 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | MS. DONNA CHIARIELLO SANTORO (CEO) |
| Authorized Official Telephone | 8474510330 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04089 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE, ID | 984620 | 01 |
| IL | BLUE CROSS/BLUE SHIELD ID | 01618935 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1023102712 | Leyden Family Service & Mental Health Center | Clinic/Center | 4600 N. Harlem, Harwood Heights, IL 60706 | 2006-10-03 |
| 1043304546 | Leyden Family Service & Mental Health Center | Clinic/Center | 1776 Moon Lake Blvd., Hoffman Estates, IL 60169 | 2006-10-02 |
| 1518417872 | Leyden Family Service & Mental Health Center | Clinic/Center | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2016-10-11 |
| 1447637970 | Leyden Family Service & Mental Health Center | Substance Abuse Rehabilitation Facility | 1776 Moon Lake Blvd, 2nd Floor, North Wing, Hoffman Estates, IL 60169 | 2015-05-05 |
| Street Address |
10001 GRAND AVENUE |
| City | FRANKLIN PARK |
| State | IL |
| Zip Code | 60131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431683 | Zachary Michael Loveland | Social Worker | Leyden Family Services, 10001 W. Grand Ave, Franklin Park, IL 60131 | 2019-01-11 |
| 1235657735 | Med-elite Innovation Inc. | Durable Medical Equipment & Medical Supplies | 11101 Franklin Ave., Franklin Park, IL 60131 | 2017-09-05 |
| 1427572395 | Whitney Lynn Lai | Counselor | 10001 West Grand Avenue, Franklin Park, IL 60131 | 2017-08-01 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1124433404 | Anna Califf | Developmental Therapist | 3047 Ruby Street, Franklin Park, IL 60131 | 2014-06-25 |
| 1275955700 | Matthew Wayne Jones | Counselor | 10200 W. Grand Ave, Franklin Park, IL 60131 | 2014-01-17 |
| 1467761056 | Shalvi Rutul Shah | Physical Therapist | 2930 N. Manheim Road, Suit 3a, Franklin Park, IL 60131 | 2010-09-29 |
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1902082100 | Vincent Domingo Dc Sc | Chiropractor | 3545 N Rose Street, Franklin Park, IL 60131 | 2008-01-17 |
| Find all providers in zip 60131 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1366074098 | Journey To Peace, LLC | Clinic/Center | 42 Fisher Dr, Franklin Park, NJ 08823-1346 | 2020-02-11 |
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| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN PARK |
| Zip Code | 60131 |
Please comment or provide details below to improve the information on LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER.
| 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.