BEHAVIORAL SERVICES CENTER (NPI# 1952726010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952726010 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL SERVICES CENTER |
| Practice Address |
25975 N Diamond Lake Rd Suite111 Mundelein IL 60060-9400 |
| Mailing Address |
8707 Skokie Blvd 207 Skokie IL 60077-2269 |
| Practice Telephone | 8476738577 |
| Mailing Telephone | 8476738577 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2016-09-03 |
| Authorized Official Name | DR. EUGENE ISYANOV (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8479224326 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | A-1587-0007-A | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DASA | A-1587-0007-A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483456 | Behavioral Services Center | Case Management | 161 N Clark St Ste 4700, Chicago, IL 60601-3201 | 2016-04-25 |
| 1134574361 | Behavioral Services Center | Case Management | 188 W Industrial Dr Ste 100, Elmhurst, IL 60126-1608 | 2016-04-25 |
| 1043665276 | Behavioral Services Center | Clinic/Center | 25975 N Diamond Lake Rd Ste 111, Mundelein, IL 60060-9400 | 2016-04-25 |
| 1962857193 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031 | 2016-04-25 |
| 1801273446 | Behavioral Services Center | Clinic/Center | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2015-05-04 |
| 1013304781 | Behavioral Services Center | Case Management | 161 N Clark St, Chicago, IL 60601-3206 | 2015-04-21 |
| 1679960496 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031-5708 | 2015-04-20 |
| 1063837128 | Behavioral Services Center | Case Management | 188 W Industrial Dr, Suite 100, Elmhurst, IL 60126-1623 | 2014-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL SERVICES CENTER | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 |
| Street Address |
25975 N DIAMOND LAKE RD SUITE111 |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1700840402 | Alternative Behavior Treatment Centers | Community/Behavioral Health | 27255 N Fairfield Rd, Mundelein, IL 60060-9115 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEHAVIORAL SERVICES CENTER.
| 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.