INNOVATIVE BEHAVIORAL SOLUTIONS, LLC (NPI# 1689928343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689928343 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE BEHAVIORAL SOLUTIONS, LLC |
| Practice Address |
405 E Oakwood Blvd Apt 4j Chicago IL 60653-1963 |
| Practice Telephone | 6019463086 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | BROOKE OWENS (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Telephone | 6019463086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
405 E OAKWOOD BLVD APT 4J |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296162 | Kmetko & Associates, Ltd. | Clinic/Center | 4043 N Ravenswood Ave Ste 121, Chicago, IL 60613-1176 | 2020-05-07 |
| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
| 1962034488 | Global Executive Council Services | Clinic/Center | 5766 N Lincoln Ave Ste 4s, Chicago, IL 60659-4734 | 2020-02-12 |
| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1689223992 | Hannah Newman, Lcsw LLC | Clinic/Center | 3111 W Armitage Ave Fl 2, Chicago, IL 60647-3818 | 2019-09-09 |
| 1710468533 | Rehs Counseling | Clinic/Center | 1286 N Milwaukee Ave Ste 7, Chicago, IL 60622-9319 | 2018-08-29 |
| 1568959187 | Laura Anderson, LLC | Clinic/Center | 2000 N Racine Ave Ste 2130, Chicago, IL 60614-4045 | 2018-04-19 |
| 1013414150 | Gro Community | Clinic/Center | 11004 S Michigan Ave, Chicago, IL 60628-4309 | 2018-04-06 |
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1154647089 | Kids Above All | Clinic/Center | 2808 W Chicago Ave, Chicago, IL 60622-7833 | 2010-04-16 |
| 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.