ASSOCIATED BEHAVIORAL REHABILITATION SERVICES (NPI# 1316069578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316069578 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED BEHAVIORAL REHABILITATION SERVICES |
| Practice Address |
4835 W Irving Park Rd Chicago IL 60641-2719 |
| Practice Telephone | 7737777413 |
| Practice Fax Number | 7737777416 |
| Mailing Telephone | 7737777413 |
| Mailing Fax Number | 7737777416 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRED T WALTZER (OWNER) |
| Authorized Official Telephone | 7737777413 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
4835 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760436398 | Associated Behavioral Consultants, Inc | Psychologist | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-05-19 |
| 1154339117 | Sarah Sutcliffe | Social Worker | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-08-04 |
| 1255353413 | Craig H Earnest | Psychologist | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-07-24 |
| 1609897974 | Associated Behavioral Therapeutics Inc | Psychologist | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| 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 |
|---|---|---|---|---|
| 1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
| 1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
| 1710162862 | Wise Behavioral Health Services Ltd | Psychologist | 9012 S Crandon Ave, Chicago, IL 60617-3807 | 2008-01-08 |
| 1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
| 1982803219 | Institute for Behavioral Health | Psychologist | 4250 N Marine Dr Apt 1521, Chicago, IL 60613-1714 | 2007-07-17 |
| 1982808655 | Acorn Rehab Services Ltd | Psychologist | 4639 W Washington Blvd, Chicago, IL 60644-3618 | 2007-06-14 |
| 1013932748 | South Shore Lake Front Services, Inc | Psychologist | 2619 E 75th St # 21, Chicago, IL 60649-3705 | 2006-07-13 |
| 1386671279 | South Haven Behavioral Modification II Inc | Psychologist | 448-454 E. 61st St, Chicago, IL 60637 | 2006-06-27 |
| 1285680645 | Phoenix Healthcare Services LLC | Psychologist | 7324 N Western Ave, Chicago, IL 60645-1814 | 2006-05-26 |
| 1760436398 | Associated Behavioral Consultants, Inc | Psychologist | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-05-19 |
| 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.