NPIMap

Organization Active NPI

Greater Heights P Medical Services

  • Adult Mental Health Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1568099307
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Mary Odefadehan, APRNNPI 1881212157
Title
Manager
Phone
(224) 659-2484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1005 S Evergreen Ave
Arlington Heights, IL 60005-3144

Mailing address

1005 S Evergreen Ave
Arlington Heights, IL 60005-3144
Phone (847) 749-0542

Other names 1

  • Greater Heights P Medical services Former legal business name

National Provider Directory

National Provider Directory

Locations

1005 S Evergreen Ave
Arlington Heights, IL 60005
Phone (847) 749-0542

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Heights P Medical services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • 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.