POSITIVE SOBRIETY INSTITUTE, LLC (NPI# 1306249990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306249990 |
| Entity Type | Organization |
| Organization Name | POSITIVE SOBRIETY INSTITUTE, LLC |
| Practice Address |
680 N Lake Shore Dr Suite 800 Chicago IL 60611-4546 |
| Mailing Address |
2300 Windy Ridge Parkway Suite 210s Atlanta GA 30339 |
| Practice Telephone | 3126427230 |
| Practice Fax Number | 3126427055 |
| Mailing Telephone | 4704401647 |
| Mailing Fax Number | 3126427055 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | TYEAST REYNOLDS (DIRECTOR OF RCM) |
| Authorized Official Telephone | 6788130428 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERMEND HEALTH, LLC |
| 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 | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-8526-001-A | IL | Residential Treatment Facilities |
| Street Address |
680 N LAKE SHORE DR SUITE 800 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052885 | Jeanette A. Dubay-mcdermit | Nurse Anesthetist, Certified Registered | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2005-06-13 |
| 1023621406 | Akshar Patel | Student in an Organized Health Care Education/Training Program | 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 | 2020-08-26 |
| 1952873267 | Kimberly Sumislawski | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-12-27 |
| 1598251571 | Asia Giammarco | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-07-02 |
| 1497253256 | Samantha M C Tan | Nurse Practitioner | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-01-26 |
| 1871040642 | Kathleen Dady | Genetic Counselor, MS | 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 | 2016-09-08 |
| 1205382496 | Rachel Green Dunn | Nurse Practitioner | 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 | 2016-08-29 |
| 1730634791 | Kelly Elizabeth Smyth | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611 | 2016-08-19 |
| 1982158036 | Patricia Gale, Md, S.c. | Clinic/Center | 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 | 2016-08-06 |
| 1013460930 | Julia Goldin | Registered Nurse | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 1891296802 | The Ids Group Chicago | Substance Abuse Rehabilitation Facility | 1117 N Ashland Ave, Chicago, IL 60622-3986 | 2018-02-25 |
| 1548774961 | Prentice Place | Substance Abuse Rehabilitation Facility | 255 W 112th Pl, Chicago, IL 60628-4132 | 2017-11-21 |
| 1821537739 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 28 W 113th Pl, Chicago, IL 60628-4811 | 2017-02-13 |
| 1538608443 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 44 W 112th Pl, Chicago, IL 60628-4806 | 2017-02-13 |
| 1093254906 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 139 W 112th St, Chicago, IL 60628-4803 | 2017-02-13 |
| 1083152359 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 103 W 112th St, Chicago, IL 60628-4803 | 2017-02-07 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| Find all providers in CHICAGO | ||||
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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.