MATHERS CLINIC LLC (NPI# 1316237530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316237530 |
| Entity Type | Organization |
| Organization Name | MATHERS CLINIC LLC |
| Other Organization Name | MATHERS CLINIC |
| Practice Address |
145 S Virginia St Crystal Lake IL 60014-7226 |
| Practice Telephone | 8154449999 |
| Practice Fax Number | 8153566680 |
| Mailing Telephone | 8154449999 |
| Mailing Fax Number | 8153566680 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | DR. RAMESH BABU VEMURI (CEO) |
| Authorized Official Telephone | 3124048989 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 36039266 | IL | Behavioral Health & Social Service Providers |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36039266 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mathers Clinic | Doing Business As Name - Organization |
| Street Address |
145 S VIRGINIA ST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164508149 | Ramesh Babu Vemuri | Psychiatry & Neurology | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2006-10-31 |
| 1093320608 | Matthew Banas | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2020-09-10 |
| 1477193258 | Erin Fowler | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2020-01-09 |
| 1992359046 | Tiffany Andrae Wilson | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2019-07-27 |
| 1841777406 | Nina Teresa Catalano | Student in an Organized Health Care Education/Training Program | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-07-25 |
| 1912492752 | Reema D Patel | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-06-25 |
| 1104326149 | Deborah Ann Ropinski | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2018-02-16 |
| 1902318652 | Minda Anderson | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-11-02 |
| 1962926089 | Megan Schwab | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-07-31 |
| 1750804167 | Yolanta Kreklow | Nurse Practitioner | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275683211 | Soo Mi Lee - Samuel | Psychiatry & Neurology | 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014-6202 | 2007-01-11 |
| 1205834017 | Mohinder Chadha | Psychiatry & Neurology | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.