Ecneret Family Services - NFP, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ECNERET FAMILY SERVICES - NFP, INC.

Practice address

15957 Halsted St
Harvey, IL 60426-5222

Phone

(877) 221-7036

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By 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. Terence Maurice Brown, PH.D.

Title

Ceo

Phone

(708) 351-5000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588866974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 WEST HAWK LANE",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "60449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15957 HALSTED ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604265222",
            "telephone_number": "877-221-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECNERET FAMILY SERVICES - NFP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-351-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL COUNSELING",
            "identifier": "69R",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY THERAPY",
            "identifier": "69D",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy R. Dumont, OT
• Guadalupe Duran, APRN
• Joseph R Durham, M.D.
• Renaud Duval, M.D., F.R.C.S.C.
• Dynamics of Life
• Helene B Elias, PA
• Darryl Chauncey English I, COTA/L
• Barbara A Enns, OTR./L
• Shane Exner, PMHNP-BC
• Kevin J Fagan, MD

• Community/Behavioral Health Agency in Harvey, IL
• Providers in Harvey, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.