PRESENCE BEHAVIORAL HEALTH (NPI# 1780831057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780831057 |
| Entity Type | Organization |
| Organization Name | PRESENCE BEHAVIORAL HEALTH |
| Other Organization Name | PROCARE CENTERS |
| Practice Address |
1919 Main St Melrose Park IL 60160-3737 |
| Mailing Address |
1820 S 25th Ave Broadview IL 60155-2864 |
| Practice Telephone | 7086812324 |
| Practice Fax Number | 7083455496 |
| Mailing Telephone | 7083383806 |
| Mailing Fax Number | 7086811289 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | MRS. KRISTIN KAMINSKI (MANAGER, GENERAL ACCOUNTING) |
| Authorized Official Telephone | 7083383806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS ID | 1616027 | 01 |
| Other Name | Type Code |
|---|---|
| ProCare Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285596 | Presence Behavioral Health | Clinic/Center | 117 S 6th Ave, Maywood, IL 60153-1377 | 2008-08-19 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1629224662 | Presence Behavioral Health | Clinic/Center | 611 N 2nd Ave, Maywood, IL 60153-1111 | 2008-08-11 |
| 1033365010 | Presence Behavioral Health | Clinic/Center | 537 Des Plaines Ave, Forest Park, IL 60130-1859 | 2008-08-11 |
| 1083141493 | Presence Behavioral Health | Community/Behavioral Health | 1127 N Oakley Blvd, Nfc Bldg 3rd Floor, Chicago, IL 60622-3507 | 2017-05-16 |
| 1578919247 | Presence Behavioral Health | Clinic/Center | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-11 |
| 1841646122 | Presence Behavioral Health | Community/Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-05 |
| 1558625277 | Presence Behavioral Health | Clinic/Center | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2012-06-27 |
| 1649427774 | Presence Behavioral Health | Clinic/Center | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2008-08-20 |
| 1497902761 | Presence Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2008-08-19 |
| Street Address |
1919 MAIN ST |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720809 | The Threshold | Community/Behavioral Health | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| 1154467850 | Stephanie J Schneeberger | Counselor | 1919 Main St, Melrose Park, IL 60160-3737 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| 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 |
|---|---|---|---|---|
| 1396080289 | Healthcare Alternative Systems | Clinic/Center | 1115 N 23rd Ave, Melrose Park, IL 60160-3139 | 2012-12-03 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1760747257 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-07-10 |
| 1083978324 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-07-02 |
| 1467720847 | Christine Case | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-12-13 |
| 1013285220 | Resurrection Health Care | Clinic/Center | 1414 Main, Melrose Park, IL 60160 | 2011-12-02 |
| 1245507573 | Resurrection Health Care | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-12-01 |
| 1891079869 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-10-07 |
| 1629352695 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-10-07 |
| 1538441662 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-09-14 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on PRESENCE BEHAVIORAL HEALTH.
| 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.