PRESENCE BEHAVIORAL HEALTH NPI 1477622298

NPI Information

NPI: 1477622298
Provider Name: PRESENCE BEHAVIORAL HEALTH

Doing Business As: PROCARE CENTERS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1414 MAIN ST
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-2324
Get Directions

PRESENCE BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in Melrose Park, IL. PRESENCE BEHAVIORAL HEALTH NPI is 1477622298. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Centers.

The provider's business location address is:

1414 MAIN ST
MELROSE PARK, IL
ZIP 60160-902
Phone: (708) 681-2324
Fax: (708) 345-5496

The provider's authorized official is Kristin Kaminski .
The authorized official title is Manager, General Accounting and has the following contact phone number (708) 338-3806.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 11/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========002	MEDICAID	ILLINOIS
2	=========015	MEDICAID	ILLINOIS
3	=========020	MEDICAID	ILLINOIS
4	=========012	MEDICAID	ILLINOIS
5	=========014	MEDICAID	ILLINOIS
6	=========017	MEDICAID	ILLINOIS
7	=========021	MEDICAID	ILLINOIS
8	1616027	OTHER	ILLINOIS	BCBS ID
9	=========009	MEDICAID	ILLINOIS
10	=========019	MEDICAID	ILLINOIS
11	619910	MEDICARE PIN	ILLINOIS
12	204281	MEDICARE PIN	ILLINOIS
13	=========011	MEDICAID	ILLINOIS
14	=========013	MEDICAID	ILLINOIS
15	=========022	MEDICAID	ILLINOIS
16	=========016	MEDICAID	ILLINOIS
17	=========018	MEDICAID	ILLINOIS
18	=========007	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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