NPIMap

Organization Active NPI

Peer Services, Inc.

  • Community/Behavioral Health Agency
  • Glenview, IL
National Provider Identifier
1720225725
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A-0502-0002-A Issued in IL
Legal business name
PEER SERVICES, INC.
Practice address
3633 W Lake Ave
Suite 305
Glenview, IL 60026-5805
Phone
(847) 657-7337
Fax
(847) 657-7331
NPI assigned
Jan 13, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PEER SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Kate Mahoney, LCSW
Title
Executive Director
Phone
(847) 492-1778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-0502-0002-A IL Primary

Addresses

Primary practice location

3633 W Lake Ave
Suite 305
Glenview, IL 60026-5805

Mailing address

3633 W Lake Ave
Suite 305
Glenview, IL 60026-5805
Phone (847) 657-7337

Other identifiers 1

IdentifierTypeStateIssuer
A-0502-0002-AOtherILSTATE OF ILLINOIS DHS LICENSE

Other names 1

  • Glenview Office Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Britt Borden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3633 W Lake Ave
Ste 305
Glenview, IL 60026
Phone (847) 657-7337

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1720225725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 305",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-7337",
            "fax_number": "847-657-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 305",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-7337",
            "fax_number": "847-657-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEER SERVICES, INC.",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-492-1778",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0502-0002-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DHS LICENSE",
            "identifier": "A-0502-0002-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenview Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.