Organization Active NPI

The Mens Center Inc

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1154548022
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000555 Issued in IL
Legal business name
THE MENS CENTER INC
Practice address
657 E Golf Rd
Ste 312
Arlington Heights, IL 60005-4071
Phone
(847) 593-3333
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mr. Barry Robert Feldman, LCSWNPI 1548384639
Title
Owner
Phone
(847) 593-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149000555 IL Primary

Addresses

Primary practice location

657 E Golf Rd
Ste 312
Arlington Heights, IL 60005-4071

Mailing address

657 E Golf Rd
Ste 312
Arlington Heights, IL 60005-4071
Phone (847) 593-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000656 IL Part B Supplier - Clinic/Group Practice 3577529866 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

657 E Golf Rd
Ste 312
Arlington Heights, IL 60005
Phone (847) 581-9210

637 E Golf Rd
Ste 201
Arlington Hts, IL 60005
Phone (847) 636-8704

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1154548022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "STE 312",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054071",
            "telephone_number": "847-593-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "STE 312",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054071",
            "telephone_number": "847-593-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-593-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.