NPIMap

Organization Active NPI

Safepaces Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
National Provider Identifier
1669040556
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAFEPACES MENTAL HEALTH SERVICES
Doing business as
Safepaces Mental Health Services
Practice address
10808 Royal Glen Dr
Orland Park, IL 60467-4578
Phone
(571) 282-8023
NPI assigned
Jun 16, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFEPACES MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Dr. Andre Roger Marseille, PHD, LPCNPI 1558845289
Title
Principal Psychotherapist
Phone
(571) 282-8023

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

10808 Royal Glen Dr
Orland Park, IL 60467-4578

Mailing address

10808 Royal Glen Dr
Orland Park, IL 60467-4578
Phone (571) 282-8023

Other names 1

  • Safepaces Mental Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dr.dre@safepaces.com Direct

National Provider Directory

National Provider Directory
Part of
Safepaces Mental Health Services

Practitioners & affiliated clinicians

Practitioners 1

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": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1669040556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 ROYAL GLEN DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674578",
            "telephone_number": "571-282-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 ROYAL GLEN DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674578",
            "telephone_number": "571-282-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEPACES MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEPACES MENTAL HEALTH SERVICES",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MARSEILLE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRINCIPAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "571-282-8023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dr.dre@safepaces.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10808 Royal Glen Dr",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604674578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Safepaces Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.