THE ILLINOIS CENTER FOR AUTISM (NPI# 1922378991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922378991 |
| Entity Type | Organization |
| Organization Name | THE ILLINOIS CENTER FOR AUTISM |
| Practice Address |
548 S Ruby Ln Fairview Heights IL 62208-2614 |
| Practice Telephone | 6183987500 |
| Practice Fax Number | 6183949869 |
| Mailing Telephone | 6183987500 |
| Mailing Fax Number | 6183949869 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | SUSAN SZEKELY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6183987500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
548 S RUBY LN |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568820231 | Climb for Ptsd | Voluntary or Charitable | 125 N Ruby Ln, Fairview Heights, IL 62208-1926 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948784 | The Hope Through Help Center, Inc. | Voluntary or Charitable | 8851 S Eggleston Ave, Chicago, IL 60620-2117 | 2020-06-30 |
| 1386292779 | Mindful Living & Care, LLC | Voluntary or Charitable | 8204 Coop Ave, Joliet, IL 60431-5400 | 2019-08-28 |
| 1043867112 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W. Ramada Lane, Carbondale, IL 62901-5326 | 2019-08-22 |
| 1114580586 | Children and Family Comprehensive Health Outreach, Inc. | Voluntary or Charitable | 7401 Blackburn Ave Apt 202, Downers Grove, IL 60516-4144 | 2019-04-20 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1720447667 | Neptune | Voluntary or Charitable | 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073-4906 | 2016-02-21 |
| 1366817017 | Englewood Community Connection Outreach | Voluntary or Charitable | 7326 S Exchange Ave, Chicago, IL 60649-3408 | 2015-12-07 |
| 1508235060 | Southeastern Il Agency On Aging, Inc | Voluntary or Charitable | 516 N Market St, Mount Carmel, IL 62863-1558 | 2015-09-15 |
| 1043687148 | Agesmart Community Resources | Voluntary or Charitable | 2365 Country Rd, Belleville, IL 62221-2571 | 2015-08-25 |
| 1265812044 | All Saints Center Inc. | Voluntary or Charitable | 1329 Rosemary Dr, Bolingbrook, IL 60490-4940 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on THE ILLINOIS CENTER FOR AUTISM.
| 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.