DR. PHILIP J BERENT (NPI# 1396803128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396803128 |
| Entity Type | Individual |
| Full Name | DR. PHILIP J BERENT |
| Credential | M.D. |
| Practice Address |
2604 Dempster St Suite 306 Park Ridge IL 60068-8412 |
| Practice Telephone | 8476875903 |
| Mailing Telephone | 8476875903 |
| Mailing Fax Number | 8474303357 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036041149 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036041149 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-041149 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457571499 | Philip George Berent | Chiropractor | 125 Saint Mary Dr, Port Sanilac, MI 48469-9656 | 2007-05-01 |
| Street Address |
2604 DEMPSTER ST SUITE 306 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-8412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351082 | Clifford W. Rot | Psychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2005-07-26 |
| 1114463916 | Suburban Mobile Ultrasound Services Inc | Clinic/Center | 2604 Dempster St, Ste#112, Park Ridge, IL 60068-8412 | 2017-01-17 |
| 1427447010 | Kt Dental PC | Dentist | 2604 Dempster St, Suite 203, Park Ridge, IL 60068-8412 | 2015-01-20 |
| 1467734178 | Melissa J. Hill | Social Worker | 2604 Dempster St, Ste 306, Park Ridge, IL 60068-8427 | 2011-09-20 |
| 1124355664 | Nancy Landre Phd, P.C. | Clinical Neuropsychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2009-11-04 |
| 1790916724 | Jay A Kim | Pharmacist | 2604 Dempster St, Suite 300, Park Ridge, IL 60068-8412 | 2009-08-08 |
| 1255573127 | Angela T Michelini | Social Worker | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2009-03-24 |
| 1154571693 | April Michelle Anderson | Psychiatry & Neurology | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2008-09-21 |
| 1194972646 | Christine E Fohs | Counselor | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2008-08-26 |
| 1437330917 | Dr. Richard Aronoff, Ltd | Psychologist | 2604 Dempster St, Suite 308, Park Ridge, IL 60068-8412 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1508283078 | Tiffany Chi Mateo | Psychiatry & Neurology | 1875 W Dempster St, Ste. 470, Park Ridge, IL 60068-1186 | 2014-03-23 |
| 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 | PARK RIDGE |
| Zip Code | 60068 |
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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.