WISE BEHAVIORAL HEALTH SERVICES LTD


Address: 9012 S Crandon Ave, Chicago, IL 60617-3807
Phone: 7733758741

WISE BEHAVIORAL HEALTH SERVICES LTD (NPI# 1710162862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710162862
Entity Type Organization
Organization Name WISE BEHAVIORAL HEALTH SERVICES LTD
Practice Address 9012 S Crandon Ave
Chicago
IL 60617-3807
Practice Telephone 7733758741
Practice Fax Number 7733758748
Mailing Telephone 7733758741
Mailing Fax Number 7733758748
Enumeration Date 2008-01-08
Last Update Date 2008-01-08
Authorized Official Name MR. CHARLES TRIPP (ADMINISTRATOR)
Authorized Official Telephone 7735106165
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
IL Behavioral Health & Social Service Providers

Office Location

Street Address 9012 S CRANDON AVE
City CHICAGO
State IL
Zip Code 60617-3807

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and city

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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
1881643906 Lakeshorehealthcare Psychologist 4444 W Montrose Ave, Chicago, IL 60641-2023 2006-05-08
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Competitor

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City CHICAGO
Zip Code 60617

Improve Information

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Dataset Information

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.

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