Presence Behavioral Health Procare Centers

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.008453 Issued in IL

Legal business name

PRESENCE BEHAVIORAL HEALTH PROCARE CENTERS

Practice address

1414 Main St
Melrose Park, IL 60160-3902

Phone

(708) 786-8501

Fax

(708) 681-3958

NPI assigned

Apr 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sue Warwick

Title

MSW/LSW

Phone

(708) 786-8510

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1023452448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S 25TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601552864",
            "telephone_number": "708-681-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-786-8501",
            "fax_number": "708-681-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE BEHAVIORAL HEALTH PROCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "WARWICK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "MSW/LSW",
        "authorized_official_telephone_number": "708-786-8510"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.008453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marilyn Pratl, MOTR/L
• Presence Behavioral Health
• Presence Behavioral Health
• Presence Behavioral Health
• Presence Behavioral Health
• Presence Behavioral Health Procare Centers
• Presence Health
• Presence Health Care
• Victoria Prewitt
• Mallory Price

• Community/Behavioral Health Agency in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.