Elsa Josefina Pimentel

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1243 W Westgate Ter
Chicago, IL 60607-3306

Phone

(773) 396-4782

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1386476711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 W WESTGATE TER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073306",
            "telephone_number": "773-396-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 W WESTGATE TER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073306",
            "telephone_number": "773-396-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "ELSA",
        "middle_name": "JOSEFINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilsen-Little Village Community Mental Health Center, Inc. (Pilsen Wellness Center, Inc.)
• Pilsen-Little Village Community Mental Health Center, Inc. (Pilsen Wellness Center, Inc)
• Kyle R. Pilz, P.A.
• Pimentel-Sychay Medical Service Corporation
• Dante Anthony Pimentel, M.D.
• Enrique Garcia Pimentel, LCSW
• Sarah Pimentel
• Nicole S Pinakidis, PA-C
• Catherine Margaret Pinas, CCC-SLP
• Amber Pincavage

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.