Active NPI
Human Services Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Holland, IL
National Provider Identifier
1750536983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HUMAN SERVICES INC
- Doing business as
- PSYCHOLOGICAL FITNESS CENTER
- Practice address
- 16278 Prince Dr
South Holland, IL 60473-3233 - Phone
- (708) 754-8815
- Fax
- (708) 798-1315
- NPI assigned
- Dec 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Kieffer
- Title
- Director of Business Operations
- Phone
- (708) 623-1511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
16278 Prince Dr
South Holland, IL 60473-3233
Mailing address
16278 Prince Dr
South Holland, IL 60473-3233
Phone (708) 754-8815
Other names 1
- PSYCHOLOGICAL FITNESS CENTER
National Provider Directory
National Provider DirectoryLocations
16278 Prince Dr
South Holland, IL 60473
Phone (219) 513-9443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233273600000",
"number": "1750536983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16278 PRINCE DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733233",
"telephone_number": "708-754-8815",
"fax_number": "708-798-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16278 PRINCE DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733233",
"telephone_number": "708-754-8815",
"fax_number": "708-798-1315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMAN SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-02",
"last_updated": "2009-01-30",
"status": "A",
"authorized_official_last_name": "KIEFFER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "708-623-1511"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PSYCHOLOGICAL FITNESS CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.