Greywood Health Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREYWOOD HEALTH CENTER LLC

Practice address

303 W Institute PL FL 3
Chicago, IL 60610-3080

Phone

(312) 952-2396

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Timothy G Yovankin, MDNPI 1780002360

Title

Cofounder/Executive Director/Cmo

Phone

(609) 923-5642

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy George Yovankin, MD

  • Child & Adolescent Psychiatry Physician
  • Kankakee, IL
  • NPI 1780002360
  NPD Authorized official
• Ryan Maxwell Anselmo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1487428355
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1144851684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N WELLS ST APT 703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543733",
            "telephone_number": "609-923-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W INSTITUTE PL FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103080",
            "telephone_number": "312-952-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYWOOD HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "YOVANKIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COFOUNDER/EXECUTIVE DIRECTOR/CMO",
        "authorized_official_telephone_number": "609-923-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TBD",
            "affiliation": "N",
            "address_1": "303 W Institute Pl Fl 3",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606103080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grey Area Therapy PLLC
• Francine Grey-Theriot
• Matthew Paul Greydanus
• Greyledge Orthobiologic Group LLC
• Paige Anne Greytok, LMFT, LCPC, CADC
• Galina Gribovich, MD
• Brian A Grice
• James Grider III, LPCC, CADCC
• Jill Grider, PT
• Kristen Grider, OT

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.