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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
IL | Behavioral Health & Social Service Providers |
Street Address |
9012 S CRANDON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60617-3807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
Find all providers in zip 60617 |
Taxonomy Code | 103TP2701X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Group Psychotherapy |
Definition to come... |
Notes: [1/1/2007: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
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 |
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.