St James Hospital US Catholic Conference

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1744997 Issued in IL

Legal business name

ST JAMES HOSPITAL US CATHOLIC CONFERENCE

Doing business as

St James Psychological Wellness

Practice address

1423 Chicago Rd
Chicago Heights, IL 60411-3400

Phone

(708) 755-3348

Fax

(708) 755-3393

NPI assigned

Feb 1, 2010

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna Marie Bass

Title

Account Representative

Phone

(708) 755-3348

Specialties & licenses 1

Addresses

Other names 1

• ST JAMES PSYCHOLOGICAL WELLNESS Doing business as

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1801128970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST STE 406",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-755-3348",
            "fax_number": "708-755-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHICAGO RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113400",
            "telephone_number": "708-755-3348",
            "fax_number": "708-755-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HOSPITAL US CATHOLIC CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "708-755-3348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "1744997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JAMES PSYCHOLOGICAL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sparkling Smiles Family Dental
• Speed Early Learning Center
• St James Hospital and Health Care Center
• St James Hospital United States Catholic Conference (St James Diabetes)
• St James Hospital United States Catholic Conference (Franciscan St James Family Health Center of Chicago Heights)
• St James Hosptial (Alverno Home Infusion Service)
• St. James Physician Hospital Organization
• Nelly Staines, OTR/L
• Walter B Stanford, D.D.S.
• Tyra Storey, AGPCNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.