CENTER SERVICES INC (NPI# 1902982127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902982127 |
| Entity Type | Organization |
| Organization Name | CENTER SERVICES INC |
| Practice Address |
3624 W 216th Street Matteson IL 60443-2713 |
| Practice Telephone | 7084814080 |
| Practice Fax Number | 7084817725 |
| Mailing Telephone | 7084814080 |
| Mailing Fax Number | 7084817725 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-06-07 |
| Authorized Official Name | DR. TIMOTHY W PEDIGO (SECRETARY TREASURER) |
| Authorized Official Telephone | 7084814080 |
| Authorized Official Credential | PHD |
| 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 | 01636410 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | CENTER SERVICES INC. | 225 Hillsborough Street, Raleigh, NC 27603 |
| Street Address |
3624 W 216TH STREET |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962596858 | Karen L. Pedigo | Psychologist | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-03 |
| 1811073034 | Dyann Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
| 1922192814 | Dyann K Bockstahler | Social Worker | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-03 |
| 1942394846 | John Martin Mcdonnell | Social Worker | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-03 |
| 1225122112 | Jacques Marc Slaiher | Counselor | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-03 |
| 1700970696 | Eileen S Woltman | Social Worker | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| 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 |
|---|---|---|---|---|
| 1639233174 | Grand Prairie Services | Clinic/Center | 21136 Keeler Ave, Matteson, IL 60443-2242 | 2006-12-20 |
| 1932442571 | Laynie Foundation | Clinic/Center | 4747 Lincoln Mall Dr, Suite 604, Matteson, IL 60443-3811 | 2013-04-02 |
| 1811073034 | Dyann Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
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| 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.