Fresh Start Community Mental Health Center Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FRESH START COMMUNITY MENTAL HEALTH CENTER INC

Practice address

3011 183Rd St
Ste 300
Homewood, IL 60430-2804

Phone

(708) 743-0832

NPI assigned

Apr 22, 2010

Organization subpart

No

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

Authorized official

Name

Anwar S Yamini

Title

C.E.O.

Phone

(708) 743-0832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1114244795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 183RD ST",
            "address_2": "STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 183RD ST",
            "address_2": "STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302804",
            "telephone_number": "708-743-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "YAMINI",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "708-743-0832"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimanne Foraker-Koons, MA, AMFT
• Jocelyn Justine Foust
• Cashmira Franklin
• Lexus Franklin
• Angela French, LCSW
• Melinda Fried, D.D.S
• Kelly Therese Friel
• Amie Elizabeth Fritz, LCPC
• Frontline Health Solutions, PLLC
• Meghan Elizabeth Gallagher, PA-C

• Psychiatry Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.