INSIGHT:EATING DISORDERS, WEIGHT MANAGEMENT & PSYCHOLOGICAL CENTERS (NPI# 1164882650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164882650 |
| Entity Type | Organization |
| Organization Name | INSIGHT:EATING DISORDERS, WEIGHT MANAGEMENT & PSYCHOLOGICAL CENTERS |
| Other Organization Name | EATING RECOVERY CENTER OF ILLINOIS DBA INSIGHT BEHAVIORAL HEALTH |
| Practice Address |
4210 Lake Cook Rd. Floor 2nd and 3rd Northbrook IL 60062 |
| Mailing Address |
Po Box 561478 Denver CO 80256 |
| Practice Telephone | 8778258584 |
| Mailing Telephone | 8778258584 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MARINA SHEPEL (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3125409955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eating Recovery Center of Illinois dba Insight Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| Street Address |
4210 LAKE COOK RD. FLOOR 2ND AND 3RD |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184981151 | Chicago Psychiatric Services S Corp | Psychologist | 270 Skokie Blvd, Northbrook, IL 60062-1612 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783630 | Charlene Sanuade | Psychologist | 29 S Webster St Ste 390a, Naperville, IL 60540-5356 | 2019-07-25 |
| 1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
| 1871929042 | Management Services Team Inc. | Psychologist | 18225 Fountainbleau Dr, Hazel Crest, IL 60429-2231 | 2013-09-19 |
| 1649565060 | Joseph (joe) Robert Seldess | Psychologist | 1014 Brummel, Evanston, IL 60202-3874 | 2011-06-14 |
| 1740421296 | South Suburban Senior Socialites, Inc | Psychologist | 17303 Hawthorne Dr, Hazel Crest, IL 60429-1838 | 2009-03-12 |
| 1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
| 1831362227 | Greater Chicago Group Psychotherapy, Inc. | Psychologist | 54 Falcon Place, Westmont, IL 60559 | 2008-04-08 |
| 1710162862 | Wise Behavioral Health Services Ltd | Psychologist | 9012 S Crandon Ave, Chicago, IL 60617-3807 | 2008-01-08 |
| 1942485198 | Pathways Psychology Services P.C. | Psychologist | 28w671 Garys Mill Road, Winfield, IL 60190 | 2008-01-07 |
| 1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on INSIGHT:EATING DISORDERS, WEIGHT MANAGEMENT & PSYCHOLOGICAL CENTERS.
| 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.