Esperanza Clinic for Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

ESPERANZA CLINIC FOR BEHAVIORAL HEALTH LLC

Practice address

1100 W Northwest Hwy Ste 114
Mount Prospect, IL 60056-2272

Phone

(847) 749-1104

Fax

(847) 749-1104

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Paula Karnick, PHD ANP-BC

Title

Agent

Phone

(847) 749-1104

Specialties & licenses 1

Addresses

Locations

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.

• Rebecca Benson, MHA, MS

  • Professional Counselor
  • Inverness, IL
  • NPI 1164188561
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1780233940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NORTHWEST HWY STE 114",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562272",
            "telephone_number": "847-749-1104",
            "fax_number": "847-749-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NORTHWEST HWY STE 114",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562272",
            "telephone_number": "847-749-1104",
            "fax_number": "847-749-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA CLINIC FOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "KARNICK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "847-749-1104",
        "authorized_official_credential": "PHD ANP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Enter
• Jori N Erlander, LCSW
• Kathryn L Eubanks, MD
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• Family Medicine Specialists of Mount Prospect S C

• Psychiatric/Mental Health Clinical Nurse Specialist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.