| Leyden Family Service & Mental Health Center | |
|
10001 Grand Avenue Franklin Park IL 60131 | |
| (847) 451-0330 | |
| Not Available |
| Full Name | Leyden Family Service & Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10001 Grand Avenue, Franklin Park, Illinois |
| Authorized Official Name and Position | Donna Chiariello Santoro (CEO) |
| Authorized Official Contact | 8474510330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leyden Family Service & Mental Health Center 10001 Grand Avenue Franklin Park IL 60131 Ph: (847) 451-0330 | Leyden Family Service & Mental Health Center 10001 Grand Avenue Franklin Park IL 60131 Ph: (847) 451-0330 |
| NPI Number | 1043308943 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 04/27/2015 |
| Medicare PECOS PAC ID | 3274570569 |
|---|---|
| Medicare Enrollment ID | O20050408000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043308943 | NPI | - | NPPES |
| 984620 | Other | IL | MEDICARE, ID |
| 01618935 | Other | IL | BLUE CROSS/BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04089 (Illinois) | Primary |
| Provider Name | Deborah L Couch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639146368 PECOS PAC ID: 3173685914 Enrollment ID: I20090102000398 |
| Provider Name | Jennifer Julia Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487789632 PECOS PAC ID: 0840485686 Enrollment ID: I20101105001291 |
| Provider Name | Marie G Scholl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033665724 PECOS PAC ID: 0042579096 Enrollment ID: I20180119000516 |
Asterlation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9933 Franklin Ave Ste 2a, Franklin Park, IL 60131 Phone: 847-603-4251 | |
Mental Health Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9933 Franklin Ave Ste 2b, Franklin Park, IL 60131 Phone: 847-603-4566 Fax: 800-604-1874 | |
Patricia Keating Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330 Fax: 847-451-1652 | |
Leyden Family Service & Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Grand Ave, Franklin Park, IL 60131 Phone: 847-455-5688 | |
Leyden Family Services And Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 845-451-5066 |