NPIMap

Organization Active NPI

Total Care Solutions, SC

  • Geriatric Psychiatry Physician
  • Westchester, IL
National Provider Identifier
1447550603
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
036073598 Issued in IL
Legal business name
TOTAL CARE SOLUTIONS, SC
Practice address
1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5701
Phone
(248) 894-0668
NPI assigned
Oct 21, 2010
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mr. Robert A Clemente, ESQ.
Title
Administrative Director
Phone
(248) 894-0668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 036073598 IL Primary

Addresses

Primary practice location

1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5701

Mailing address

39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (248) 894-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110418000417 IL Part B Supplier - Clinic/Group Practice 6002090933 Receives reassigned benefits from 20 practitioners

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

520 E Fabyan Pkwy
Batavia, IL 60510
Phone (630) 879-5266

24588 Church St
Chenoa, IL 61726
Phone (309) 747-2702

9300 W Ballard Rd
Des Plaines, IL 60016
Phone (847) 294-2300

555 America Ct
Lake Zurich, IL 60047
Phone (224) 286-1751

190 E Queenwood Rd
Morton, IL 61550
Phone (306) 266-5331

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1447550603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39465 W 14 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771600",
            "telephone_number": "248-894-0668",
            "fax_number": "888-486-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR",
            "address_2": "SUITE 300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545701",
            "telephone_number": "248-894-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE SOLUTIONS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "248-894-0668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IL",
            "license": "036073598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.