Brown Ehis

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X

License

209025914 Issued in IL

Practice address

6006 Colgate LN
Matteson, IL 60443-1995

Phone

(773) 716-6869

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  Medicare reassignment NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1912628371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 COLGATE LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 COLGATE LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431995",
            "telephone_number": "773-716-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHIS",
        "first_name": "BROWN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "IL",
            "license": "209025914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Echols
• Angela Eddings, CPT, CPI, CBHS, CCMA
• Edgebrook Radiology Management Services, Inc
• Michele Lynnette Edwards, LCSW
• Julius Jarmar Eggleston, DPT
• Danebell O Ehis
• Eight13 Trans LLC
• Elder Care Navigators LLC
• Elder Care Navigators LLC
• Elementary School District 159

• Clinical Nurse Specialist in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.