Organization Active NPI

Rejuvenate Therapy & Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Skokie, IL
National Provider Identifier
1932767803
Registry record updated Jun 11, 2019
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
REJUVENATE THERAPY & HEALTHCARE, INC
Practice address
8401 Crawford Ave Ste 106
Skokie, IL 60076
Phone
(847) 423-2625
Fax
(847) 787-1663
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Alan Weissman
Title
Practice Manager
Phone
(847) 423-2625

Specialties & licenses 1

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

Addresses

Primary practice location

8401 Crawford Ave Ste 106
Skokie, IL 60076

Mailing address

8401 Crawford Ave Ste 106
Skokie, IL 60076-2154
Phone (847) 423-2625

Other practice location 1

8254 Kimball Ave
Skokie, IL 60076-2918
Phone (847) 423-2625

National Provider Directory

National Provider Directory

Locations

8401 Crawford Ave
Ste 106
Skokie, IL 60076
Phone (847) 423-2625

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1932767803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-787-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-423-2625",
            "fax_number": "847-787-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8254 Kimball Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600762918",
            "country_code": "US",
            "telephone_number": "847-423-2625",
            "fax_number": "847-787-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVENATE THERAPY & HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-423-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.