USC TELEHEALTH (NPI# 1831510833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831510833 |
| Entity Type | Organization |
| Organization Name | USC TELEHEALTH |
| Practice Address |
809 Deer Creek Rd O Fallon IL 62269-4207 |
| Practice Telephone | 6187267364 |
| Mailing Telephone | 6187267364 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | DR. NADIA ISLAM (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8667406502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238304 | Usc Telehealth | Student in an Organized Health Care Education/Training Program | 1232 1/2 E Appleton St, Long Beach, CA 90802-3663 | 2014-01-07 |
| 1639590359 | Usc Telehealth | Case Management | 818 Ashton Pointe Blvd, Beaufort, SC 29906-6024 | 2013-12-23 |
| 1467828822 | Usc Telehealth | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Ste H201, Los Angeles, CA 90089-0116 | 2015-08-19 |
| 1528469756 | Usc Telehealth | Community/Behavioral Health | 3375 S Hoover St Ste H201, Los Angeles, CA 90089-0116 | 2014-09-08 |
| 1851710883 | Usc Telehealth | Case Management | 3375 S Hoover St, Los Angeles, CA 90089-0116 | 2014-04-07 |
| 1750703021 | Usc Telehealth | Community/Behavioral Health | 3375 S Hoover St Ste H201, Los Angeles, CA 90089-0116 | 2014-01-06 |
| 1093136517 | Usc Telehealth | Social Worker | 3375 S Hoover St, Ste H201, Los Angeles, CA 90089-0116 | 2013-12-31 |
| 1659792224 | Usc Telehealth | Community/Behavioral Health | 3375 S Hoover St, Ste H201, Los Angeles, CA 90089-2858 | 2013-12-26 |
| 1932520749 | Usc Telehealth | Clinic/Center | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2013-12-20 |
| 1962834267 | Usc Telehealth | Social Worker | 3375 S Hoover St Ste H201, Los Angeles, CA 90089-0116 | 2013-08-08 |
| Street Address |
809 DEER CREEK RD |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059818 | Amy D Ruckman | Social Worker | 407 S Edwards St, Altamont, IL 62411-1799 | 2020-09-29 |
| 1568080612 | Jordan Coleman | Social Worker | 1421 Marshall Ave, Mattoon, IL 61938-5341 | 2020-07-06 |
| 1164063632 | John Naret | Social Worker | 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 | 2019-10-04 |
| 1306496393 | Marie Nagle | Social Worker | 6316 157th St, Oak Forest, IL 60452-2710 | 2019-09-12 |
| 1639641376 | Brandon Christensen | Social Worker | 110 Collins St, Joliet, IL 60432-2942 | 2018-12-19 |
| 1558847335 | Inner Balance Wellness | Social Worker | 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 | 2018-07-16 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1184133084 | Andrea Lynn Geis | Social Worker | 50 Blackwood Dr, Murphysboro, IL 62966-2937 | 2017-09-22 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1528587318 | Jaclyn Hood | Social Worker | 3945 Wehrman, Schiller Park, IL 60176 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
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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.