Organization Active NPI

Altasano PC

  • Adult Mental Health Clinic/Center
  • Wonder Lake, IL
National Provider Identifier
1285403253
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALTASANO PC
Doing business as
Altasano Integrative Wellness Center
Practice address
7432 Hancock Dr
Wonder Lake, IL 60097-9200
Phone
(815) 307-6717
Fax
(833) 523-2350
NPI assigned
Jan 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Deena C Schwartz, PMHNP-FPANPI 1770792194
Title
President
Phone
(815) 307-6717

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

7432 Hancock Dr
Wonder Lake, IL 60097-9200

Mailing address

7432 Hancock Dr
Wonder Lake, IL 60097-9200
Phone (815) 307-6717

Other names 1

  • Altasano Integrative Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311002268 IL Part B Supplier - Clinic/Group Practice 5991226516 Receives reassigned benefits from 1 practitioner
Practice locations: Wonder Lake, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1285403253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 HANCOCK DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979200",
            "telephone_number": "815-307-6717",
            "fax_number": "833-523-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 HANCOCK DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979200",
            "telephone_number": "815-307-6717",
            "fax_number": "833-523-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTASANO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-307-6717",
        "authorized_official_credential": "PMHNP-FPA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altasano Integrative Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altasano Integrative Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wonder Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.