PRIVATE PRACTICE (NPI# 1457796385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457796385 |
| Entity Type | Organization |
| Organization Name | PRIVATE PRACTICE |
| Practice Address |
76 E 89th Pl Chicago IL 60619-6607 |
| Practice Telephone | 7733834149 |
| Mailing Telephone | 7733834149 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | MRS. MAMIE ROBINSON (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 7733834149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093122954 | Private Practice | In Home Supportive Care | 202 Fishpot Rd, Fredericktown, PA 15333-2203 | 2014-07-11 |
| 1881101483 | Private Practice | Pediatrics | 18522 Canoe Brk, San Antonio, TX 78258-1641 | 2018-01-04 |
| 1811374309 | Private Practice | Clinic/Center | 30 N Michigan Ave, Suite 1002, Chicago, IL 60602-3402 | 2015-05-04 |
| 1831504703 | Private Practice | Social Worker | 125 Central St, Concord, MA 01742-2910 | 2014-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Private Practice Builders LLC | 2231 Aryness Drive, Vienna, Virginia 22181 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE CLIENTS | 15870 Sw Baler Way, Sherwood, OR 97140 |
| System for Award Management (SAM) Entities | PRIVATE PRACTICE OF PSYCHOLOGY, THE | 1950 Farnworth Ln #302, Northbrook, IL 60062-3770 |
| Colorado Business Entities | Private Practice of Stephen H Chou, Psy.D. | 1120 W South Boulder Rd., Suite 101e, Lafayette, CO 80026 |
| Ohio Business Entities | PRIVATE PRACTICE PARTNER, LLC | P.o. Box 827, Worthington, OH 43085-0827 |
| New York State Corporations | PRIVATE PRACTICE PROMOTION L.L.C. | 1434 Western Ave Ste 1, Albany, Ny 12203 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE PUSH | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE REALTY, LLC | 4300 Sw Fairview Circus, Portland, OR 97221 |
| New York State Corporations | PRIVATE PRACTICE STUDIO LLC | 2 Prince St., Unit #3008, Brooklyn, Ny 11201 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE TRANSITIONS, INC. | 2615 Jahn Ave Nw Ste E5, Gig Harbor, WA 98335 |
| Street Address |
76 E 89TH PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.