NPIMap

Organization Active NPI

Presence Behavioral Health

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1386352193
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PRESENCE BEHAVIORAL HEALTH
Practice address
134 N. Lasalle St. #400
Chicago, IL 60602-1086
Phone
(847) 493-3722
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Terri Howe, BSW
Title
Utilization Coordinatior
Phone
(708) 786-2030

Specialties & licenses 1

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

Addresses

Primary practice location

134 N. Lasalle St. #400
Chicago, IL 60602-1086

Mailing address

1820 S 25TH Ave
Broadview, IL 60155-3960
Phone (708) 786-2030

Other identifiers 1

IdentifierTypeStateIssuer
1851586614OtherILCOMMERCIAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2068112Presence Behavioral Health - Chicago134 N Lasalle St, Ste 400, Chicago, IL 60602Certificate of waiverOct 27, 2027

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

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1386352193",
    "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": "601553960",
            "telephone_number": "708-786-2030",
            "fax_number": "708-681-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N. LASALLE ST. #400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021086",
            "telephone_number": "847-493-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "UTILIZATION COORDINATIOR",
        "authorized_official_telephone_number": "708-786-2030",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1851586614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.