Greater Heights P Medical Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GREATER HEIGHTS P MEDICAL SERVICES

Practice address

1005 S Evergreen Ave
Arlington Heights, IL 60005-3144

Phone

(847) 749-0542

Fax

(630) 451-9896

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Mary Odefadehan, APRN

Title

Manager

Phone

(224) 659-2484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greater Heights P Medical services Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adewumi C Odefadehan, APRN-FPA

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington Heights, IL
  • NPI 1063900603
  NPD

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1568099307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S EVERGREEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053144",
            "telephone_number": "847-749-0542",
            "fax_number": "630-451-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S EVERGREEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053144",
            "telephone_number": "847-749-0542",
            "fax_number": "630-451-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEIGHTS P MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "ODEFADEHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-659-2484",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063900603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Heights P Medical services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patricia A Graham, MD
• Maya Granados
• Vicki Grawe
• Lili Gray, LCSW
• Great Lakes Retina, PLLC
• Greater Northwest Medical Group
• Carla Greco
• Melissa Greco, APN-CNP
• Autumn-Marie L Green, P.A.-C.
• Bruce Greenberg, M.D.

• Adult Mental Health Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.