PLENA MIND CENTER, LLC


Address: 1450 Techny Rd, Northbrook, IL 60062
Phone: 8475625612

PLENA MIND CENTER, LLC (NPI# 1790287969) 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) 1790287969
Entity Type Organization
Organization Name PLENA MIND CENTER, LLC
Practice Address 1450 Techny Rd
Northbrook
IL 60062
Mailing Address 1450 Techny Rd
Northbrook
IL 60062-5447
Practice Telephone 8475625612
Practice Fax Number 8475625613
Mailing Telephone 8475625612
Mailing Fax Number 8475625613
Enumeration Date 2018-03-05
Last Update Date 2020-04-27
Authorized Official Name SHANNON GOEBEL-PAUL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8475625612
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1450 TECHNY RD
City NORTHBROOK
State IL
Zip Code 60062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669635108 Firuza Aliyeva Psychiatry & Neurology 1450 Techny Rd, Northbrook, IL 60062-5447 2008-07-03
1851999783 Plena Medical Group LLC Psychiatry & Neurology 1450 Techny Rd, Northbrook, IL 60062-5447 2020-10-13
1003343872 Child and Family Psychiatric Center LLC Clinical Neuropsychologist 1450 Techny Rd, Northbrook, IL 60062-5447 2017-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073157707 Healthy Minds International Inc Clinic/Center 3400 Dundee Rd Ste 150, Northbrook, IL 60062-2333 2019-11-06
1669941720 Laura G Gerber, PC Clinic/Center 85 Revere Dr Ste B, Northbrook, IL 60062-8001 2018-11-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891393781 Camelot Care Centers, LLC Clinic/Center 34121 North Route 45 Suite 207, Grayslake, IL 60030 2020-10-13
1831797141 Camelot Care Centers, LLC Clinic/Center 5301 E State St Ste 208, Rockford, IL 61108-2397 2020-10-09
1255954780 The Transformation Specialists LLC Clinic/Center 813 Ash St, Flossmoor, IL 60422-2213 2020-05-19
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
1295379972 Compass Health Center Oakbrook Pllc Clinic/Center 700 Oakmont Ln, Westmont, IL 60559-5551 2019-11-05
1427690676 Midwest Family and Community Resources PC Clinic/Center 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 2019-10-09
1720629041 Monte Nido Illinois, LLC Clinic/Center 27w121 80th St, Naperville, IL 60565-1270 2019-10-08
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Competitor

Search similar providers

City NORTHBROOK
Zip Code 60062

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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