Organization Active NPI

Pimentel LTD

  • Adult Mental Health Clinic/Center
  • Algonquin, IL
National Provider Identifier
1265760409
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PIMENTEL LTD
Practice address
321 Lake Gillilan Way
Algonquin, IL 60102-4284
Phone
(630) 788-7576
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Ester M Pimentel, M.D.
Title
C.E.O
Phone
(630) 788-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

321 Lake Gillilan Way
Algonquin, IL 60102-4284

Mailing address

321 Lake Gillilan Way
Algonquin, IL 60102-4284
Phone (630) 788-7576

Other identifiers 1

IdentifierTypeStateIssuer
036042364MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1265760409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LAKE GILLILAN WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024284",
            "telephone_number": "630-788-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LAKE GILLILAN WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024284",
            "telephone_number": "630-788-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMENTEL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "ESTER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "630-788-7576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.