Maine Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAINE CENTER

Practice address

832 Busse Hwy
Park Ridge, IL 60068-2302

Phone

(847) 696-1570

Fax

(847) 696-1587

NPI assigned

Feb 21, 2008

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David R. Billingham, L.C.S.W.NPI 1134252919

Title

Associate Director, Professional SE

Phone

(847) 696-1570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• David Ralph Billingham, LCSW

  • Clinical Social Worker
  • Park Ridge, IL
  • NPI 1134252919
  Authorized official Same address or phone
• Karen Ann Cohen, LCSW

  • Clinical Social Worker
  • Park Ridge, IL
  • NPI 1346373529
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1336318617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682302",
            "telephone_number": "847-696-1570",
            "fax_number": "847-696-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682302",
            "telephone_number": "847-696-1570",
            "fax_number": "847-696-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BILLINGHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR, PROFESSIONAL SE",
        "authorized_official_telephone_number": "847-696-1570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1615408",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aysha Mahmood, PHARMD
• Christopher Mahr, MD
• Daniel J Maigler, LCSW
• Main Street Counseling Solutions LLC
• Adrienne Waters Main, LCPC
• Maine Center, Inc.
• Maine East School Based Health Center
• Maine Township HS Dist 207
• Kelly Jayne Makowsky, MSN, APN, CPNP
• Abril Malagon

• Community/Behavioral Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.