Mathers Clinic, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

036054365 Issued in IL

Legal business name

MATHERS CLINIC, LLC

Practice address

585 Tollgate Rd
Elgin, IL 60123-9323

Phone

(847) 462-6099

Fax

(847) 628-6064

NPI assigned

Feb 19, 2016

Last updated

Jan 31, 2017By 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

Dr. Ramesh B Vemuri, M.D.NPI 1164508149

Title

Owner

Phone

(815) 444-9999

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mathers Clinic LLC

  dba Mathers Clinic

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1316237530

  O20110411000671

  Same enrollment
• Mathers Clinic, LLC

  • Community/Behavioral Health Agency
  • Crystal Lake, IL
  • NPI 1447610381

  O20110411000671

  Same enrollment
• The Mathers Clinic LLC

  • Community/Behavioral Health Agency
  • Woodstock, IL
  • NPI 1316307259

  O20110411000671

  Same enrollment

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.

• Ramesh Babu Vemuri, M.D.

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1164508149
  Authorized official Same address or phone

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1821457714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 TOLLGATE RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239323",
            "telephone_number": "847-462-6099",
            "fax_number": "847-628-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 TOLLGATE RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239323",
            "telephone_number": "847-462-6099",
            "fax_number": "847-628-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHERS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "VEMURI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-444-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "036054365",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Massa
• Jaclyn Mastrangeli
• Doan Nguyen Masulis, PHARMD
• Azmey Awad Matarieh, M.D.
• Maternal Fetal Consultants, SC
• Mathers Community Mental Health Center LLC
• Mathers Recovery LLC
• Mathers Recovery LLC
• Jenny Mathew, NP
• Manapurathu Mathew, MD

• Community/Behavioral Health Agency in Elgin, IL
• Providers in Elgin, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.