Organization Active NPI

Bethany Christian Services

  • Clinical Social Worker
  • Palos Heights, IL
National Provider Identifier
1902229073
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETHANY CHRISTIAN SERVICES
Practice address
6600 W College Dr
Suite 207
Palos Heights, IL 60463-1775
Phone
(708) 385-4889
Fax
(708) 385-4088
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Rebecca MacdougallNPI 1396171229
Title
Branch Director
Phone
(708) 385-4889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

6600 W College Dr
Suite 207
Palos Heights, IL 60463-1775

Mailing address

6600 W College Dr
Suite 207
Palos Heights, IL 60463-1775
Phone (708) 385-4889

National Provider Directory

National Provider Directory

Locations

6600 W College Dr
Ste 207
Palos Heights, IL 60463
Phone (708) 385-4889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1902229073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W COLLEGE DR",
            "address_2": "SUITE 207",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631775",
            "telephone_number": "708-385-4889",
            "fax_number": "708-385-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W COLLEGE DR",
            "address_2": "SUITE 207",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631775",
            "telephone_number": "708-385-4889",
            "fax_number": "708-385-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BRANCH DIRECTOR",
        "authorized_official_telephone_number": "708-385-4889"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.