County of Lake

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

071.006552 Issued in IL

Legal business name

COUNTY OF LAKE

Doing business as

Nineteenth Judicial Circuit

Practice address

24647 N Milwaukee Ave
Vernon Hills, IL 60061-1576

Phone

(847) 377-7920

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By 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

Dr. Dena Traylor, PSY.D.

Title

Director of Psychological Services

Phone

(847) 377-3675

Specialties & licenses 1

Addresses

Other names 1

• Nineteenth Judicial Circuit Doing business as

Tax ID family

Lake County Health Department48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

• County of Lake

  dba Lake County Health Department and Community Health Center

  • Public Health or Welfare Agency
  • Waukegan, IL
  • NPI 1013920750
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Zion, IL
  • NPI 1023047164
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1053623637
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • North Chicago, IL
  • NPI 1083643118
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1174552293
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1174745160
  NPD tax ID
• County of Lake

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Park City, IL
  • NPI 1194638940
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1235453309
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Public Health or Welfare Agency
  • Waukegan, IL
  • NPI 1255342457
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Highland Park, IL
  • NPI 1285663328
  NPD tax ID
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waukegan, IL
  • NPI 1356888515
  NPD tax ID
• County of Lake

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1457272585
  NPD tax ID

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1417243288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W WATER ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855616",
            "telephone_number": "847-377-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24647 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611576",
            "telephone_number": "847-377-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "DIRECTOR OF PSYCHOLOGICAL SERVICES",
        "authorized_official_telephone_number": "847-377-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "071.006552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nineteenth Judicial Circuit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corporate Woods Open MRI
• Molly Burnette Corrigan
• Michela Rosanna Coscino
• Karina Costa Bisson
• Countryside Fire Protection Dist
• County of Lake (Lake County Health Department and Community Health Center)
• Teresa Cozzens, RN
• Carmen Crawford, LSW
• Michael Cullen II, LCSW
• Gail W Cutler, MA LCPC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.