ANDERSONVILLE BEHAVIORAL HEALTH, LLC (NPI# 1770174955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770174955 |
| Entity Type | Organization |
| Organization Name | ANDERSONVILLE BEHAVIORAL HEALTH, LLC |
| Practice Address | 1509 W Berwyn Ave Ste 204 Chicago IL 60640-8058 |
| Practice Telephone | 8479892101 |
| Mailing Address | 1509 W Berwyn Ave Ste 204 Chicago IL 60640-8058 |
| Mailing Telephone | 8479892101 |
| Certification Date | 2021-01-29 |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |
| Authorized Official Telephone | 8479892101 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Steven A Migalski | Doing Business As Name |
| Street Address | 1509 W BERWYN AVE STE 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-8058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. · Rush Physical Therapy | Clinic/Center · Rehabilitation | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor · Mental Health | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC · Pearle Vision | Clinic/Center · Health Service | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner · Obstetrics & Gynecology | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson · Graham Shaw | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417551110 | Dr. Valentina, LLC | 11848 S Western Ave, Chicago, IL 60643-4734 | 2020-11-24 | |
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 | |
| 1336748367 | Wh Il Medical Pllc · Walmart Health | 1715 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 | |
| 1013524818 | Lincoln Park Psychology, Inc. | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 | |
| 1962016386 | Brittney Aubin | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 | |
| 1235750860 | Dia Anjali Mason | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 | |
| 1811532880 | Emily Wolodiger | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 | |
| 1518500099 | Allow Wellness LLC | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 | |
| 1619510914 | Keeshawna Brooks | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 | |
| 1104468800 | Emotion-Focused Therapy Chicago, LLC | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407977069 | Ssc Andersonville Operating Company LLC · Norris Health and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2007-04-02 |
| 1790375830 | Thomas Dewayne Hunt | Pharmacist | 3318 Andersonville Hwy, Andersonville, TN 37705-3816 | 2021-01-22 |
| 1184214967 | Whitney Lewis | Pharmacist | 3318 Andersonville Hwy, Andersonville, TN 37705-3816 | 2021-01-25 |
| 1619528668 | Beth Ann Martin | Occupational Therapy Assistant | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2019-09-21 |
| 1689611030 | Terri L Crabtree | Nurse Practitioner · Family | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2006-06-01 |
| 1194803601 | Hatmaker Family Pharmacy Inc · Anderson Crossing Pharmacy | Pharmacy | 3318 Andersonville Hwy, Andersonville, TN 37705-3816 | 2006-11-01 |
| 1427448430 | Divinity Health Diagnostics,Llc | Clinic/Center · Radiology, Mobile | 153 Alley Rd, Andersonville, TN 37705-3910 | 2015-01-28 |
| 1255466652 | Guilford County Department of Public Health · Gcdph Behavioral Health | Community/Behavioral Health | 501 E Green Dr, Behavioral Health Services, High Point, NC 27260-6707 | 2007-02-23 |
| 1578886610 | University Health System, Inc · Ut Family Physicians Clinton | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1821450735 | University of Utah Pediatric Behavioral Health Services · Pediatric Behavioral Health Outpatient Svcs - Redwood Health Center | Clinic/Center · Adult Mental Health | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2016-03-22 |
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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.