NPIMap

Organization Active NPI

Presence Behavioral Health

Doing business as ProCare Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maywood, IL
National Provider Identifier
1225285596
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRESENCE BEHAVIORAL HEALTH
Doing business as
ProCare Centers
Practice address
117 S 6TH Ave
Maywood, IL 60153-1377
Phone
(708) 681-2324
Fax
(708) 345-5496
NPI assigned
Aug 19, 2008
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Mrs. Kristin Kaminski
Title
Manager, General Accounting
Phone
(708) 338-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

117 S 6TH Ave
Maywood, IL 60153-1377

Mailing address

1820 S 25TH Ave
Broadview, IL 60155-2864
Phone (708) 338-3806

Other identifiers 1

IdentifierTypeStateIssuer
1616027OtherILBCBS

Other names 1

  • ProCare Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presence Behavioral Health26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1225285596",
    "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": "708-338-3806",
            "fax_number": "708-681-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 6TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531377",
            "telephone_number": "708-681-2324",
            "fax_number": "708-345-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGER, GENERAL ACCOUNTING",
        "authorized_official_telephone_number": "708-338-3806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1616027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.