NPIMap

Organization Active NPI

Presence Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melrose Park, IL
National Provider Identifier
1780831057
Registry record updated Jun 7, 2013
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
PRESENCE BEHAVIORAL HEALTH
Doing business as
ProCare Centers
Practice address
1919 Main St
Melrose Park, IL 60160-3737
Phone
(708) 681-2324
Fax
(708) 345-5496
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Mrs. Kristin Kaminski
Title
Manager, General Accounting
Phone
(708) 338-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1919 Main St
Melrose Park, IL 60160-3737

Mailing address

1820 S 25TH Ave
Broadview, IL 60155-2864
Phone (708) 338-3806

Other identifiers 1

IdentifierTypeStateIssuer
1616027OtherBCBS ID

Other names 1

  • ProCare Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presence Behavioral Health26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1780831057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S 25TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601552864",
            "telephone_number": "708-338-3806",
            "fax_number": "708-681-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603737",
            "telephone_number": "708-681-2324",
            "fax_number": "708-345-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGER, GENERAL ACCOUNTING",
        "authorized_official_telephone_number": "708-338-3806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "1616027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.