Mathers Recovery LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

MATHERS RECOVERY LLC

Practice address

145 S Virginia St
Crystal Lake, IL 60014-7226

Phone

(815) 444-9999

Fax

(847) 531-1296

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Srihari Vemuri

Title

Cfo

Phone

(815) 444-9999

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Tax ID family

Mathers Recovery LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mathers Recovery LLC

  • Methadone Clinic
  • Fox Lake, IL
  • NPI 1013555416
  NPD tax ID
• Mathers Recovery LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Elgin, IL
  • NPI 1083252480
  NPD tax ID
• Mathers Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fox Lake, IL
  • NPI 1437719846
  NPD tax ID

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1396456943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-444-9999",
            "fax_number": "847-531-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-444-9999",
            "fax_number": "847-531-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHERS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "VEMURI",
        "authorized_official_first_name": "SRIHARI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-444-9999"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mata
• Glen T Matejka, DN DC DACBN CCN
• Mathers Clinic LLC
• Mathers Clinic, LLC
• Mathers Community Mental Health Center LLC
• Nisha Mathew
• Brittany S Matthiesen, LSW
• Barbara Maulding, LCPC
• Elizabeth Kerry Mayes, AUD
• Emily Katherine Maynard

• Addiction Medicine (Psychiatry & Neurology) Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.