| Presence Behavioral Health | |
|
1414 Main St Melrose Park IL 60160-3902 | |
| (708) 681-2324 | |
| (708) 345-5496 |
| Full Name | Presence Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1414 Main St, Melrose Park, Illinois |
| Authorized Official Name and Position | Kristin Kaminski (MANAGER, GENERAL ACCOUNTING) |
| Authorized Official Contact | 7083383806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Behavioral Health 1820 S 25th Ave Broadview IL 60155-2864 Ph: (708) 338-3806 | Presence Behavioral Health 1414 Main St Melrose Park IL 60160-3902 Ph: (708) 681-2324 |
| NPI Number | 1477622298 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/12/2013 |
| Medicare PECOS PAC ID | 7517864143 |
|---|---|
| Medicare Enrollment ID | O20031212000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477622298 | NPI | - | NPPES |
| 1616027 | Other | IL | BCBS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cindy S Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912285743 PECOS PAC ID: 0648597336 Enrollment ID: I20150317001822 |
| Provider Name | Tabitha Joy Ledbetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003102401 PECOS PAC ID: 1850671538 Enrollment ID: I20161215001240 |
| Provider Name | Benjamin Zarit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437790425 PECOS PAC ID: 1456774645 Enrollment ID: I20200707000518 |
| Provider Name | Kathryn A Mckenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255967709 PECOS PAC ID: 7012331341 Enrollment ID: I20200721000312 |
| Provider Name | Christina Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174137400 PECOS PAC ID: 1951717545 Enrollment ID: I20210305000776 |
| Provider Name | Erin Cathleen Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023533346 PECOS PAC ID: 1052729654 Enrollment ID: I20210420002776 |
| Provider Name | Jack J Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790931525 PECOS PAC ID: 5597150508 Enrollment ID: I20220309001915 |
| Provider Name | Saba S Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330493 PECOS PAC ID: 0446504468 Enrollment ID: I20220427000744 |
| Provider Name | Jennifer Pritchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427795194 PECOS PAC ID: 5991183485 Enrollment ID: I20220613002144 |
| Provider Name | Carmen Nieves Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306124318 PECOS PAC ID: 6901256742 Enrollment ID: I20231220001704 |
| Provider Name | Michelle Denise Cleveland-brazil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285350371 PECOS PAC ID: 4183076342 Enrollment ID: I20240123004665 |
| Provider Name | Laura Sofia Murphy Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144948670 PECOS PAC ID: 0547613689 Enrollment ID: I20240125001272 |
| Provider Name | Karen J. Herrmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306973466 PECOS PAC ID: 2567808454 Enrollment ID: I20240314000346 |
| Provider Name | Kelly Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992155352 PECOS PAC ID: 6002253523 Enrollment ID: I20240320000987 |
| Provider Name | Alma R Llamas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407276074 PECOS PAC ID: 1759729296 Enrollment ID: I20240403002808 |
| Provider Name | Natasha L Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730426370 PECOS PAC ID: 3476992157 Enrollment ID: I20240415000561 |
| Provider Name | Terence Peter Vant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811661333 PECOS PAC ID: 7416491949 Enrollment ID: I20240626000374 |
| Provider Name | Mayra Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992320485 PECOS PAC ID: 7416491824 Enrollment ID: I20240626003275 |
| Provider Name | Joanna Giordano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023732476 PECOS PAC ID: 4183168438 Enrollment ID: I20240627003873 |
| Provider Name | Ashley Crisanto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669104022 PECOS PAC ID: 8628508223 Enrollment ID: I20250212001307 |
| Provider Name | Evelyn Darlene Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548871379 PECOS PAC ID: 8921528316 Enrollment ID: I20250228002412 |
| Provider Name | Esther Hernandez Horcasitas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114694080 PECOS PAC ID: 3678098068 Enrollment ID: I20250417003148 |
Resurrection Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Presence Behavioral Health Procare Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8501 Fax: 708-681-3958 | |
Westlake Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-938-7040 | |
Resurrection Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Proviso Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-2324 Fax: 708-345-5496 | |
Resurrection Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Vhs Westlake Hospital Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 615-665-6000 Fax: 615-665-6197 |