Value Care Centers

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

VALUE CARE CENTERS

Practice address

5501 W 79TH St
Burbank, IL 60459-1784

Phone

(708) 499-9944

Fax

(708) 566-4382

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Weems, PSYD

Title

Chief Executive Officer

Phone

(708) 499-9944

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1619340601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "708-499-9944",
            "fax_number": "708-566-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "708-499-9944",
            "fax_number": "708-566-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-499-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burbank, IL
• Adult Development & Aging Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.