Patient Centered Care Partners Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149005888 Issued in IL

Legal business name

PATIENT CENTERED CARE PARTNERS INC

Practice address

333 Skokie Blvd Ste 107
Northbrook, IL 60062-1622

Phone

(224) 723-1196

NPI assigned

Sep 12, 2017

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia M Stern, LCSWNPI 1902329279

Title

President

Phone

(847) 309-6239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Stern, LCSW

  • Clinical Social Worker
  • Highland Park, IL
  • NPI 1902329279
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Rust, MS, LPC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1275200479
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1083133094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GRAY AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354014",
            "telephone_number": "847-309-6239",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 107",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621622",
            "telephone_number": "224-723-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED CARE PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-309-6239",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juli Patel, PA-C
• Monal Patel, PHARMD
• Prachi Patel, PT
• Priya Patel
• Vaidika Patel, DPT
• Patrick R. Magner, DMD, P.C.
• Caroline Patrick
• Nicole E Patterson, PSYD
• Briana Paulman, PHD
• Mary Lakag Paunilian, PT

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.