| Alexian Brothers Center For Mental Health | |
|
3436 N. Kennicott Avenue Arlington Heights IL 60004-7814 | |
| (847) 952-7460 | |
| (847) 222-1754 |
| Full Name | Alexian Brothers Center For Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3436 N. Kennicott Avenue, Arlington Heights, Illinois |
| Authorized Official Name and Position | Rick Germann (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8479527460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexian Brothers Center For Mental Health Po Box 26852 Belfast ME 04915-2019 Ph: (847) 952-7460 | Alexian Brothers Center For Mental Health 3436 N. Kennicott Avenue Arlington Heights IL 60004-7814 Ph: (847) 952-7460 |
| NPI Number | 1689674038 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 9032019757 |
|---|---|
| Medicare Enrollment ID | O20040109000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689674038 | NPI | - | NPPES |
| 1617886 | Other | IL | BLUE SHIELD |
| 3630045007010 | Medicaid | IL |
| Provider Name | Gretchen A Boules |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710082474 PECOS PAC ID: 1254328487 Enrollment ID: I20040428001390 |
| Provider Name | Mary E Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427135284 PECOS PAC ID: 7315936424 Enrollment ID: I20040512000217 |
| Provider Name | Thomas D Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801863642 PECOS PAC ID: 3375521206 Enrollment ID: I20040708000721 |
| Provider Name | Deepak Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457308926 PECOS PAC ID: 8224033667 Enrollment ID: I20060919000184 |
| Provider Name | Kiran Frey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558583799 PECOS PAC ID: 6800995705 Enrollment ID: I20070618000369 |
| Provider Name | Paul J Skiba |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326161324 PECOS PAC ID: 2567691827 Enrollment ID: I20140207000220 |
| Provider Name | Diana S Hofmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528451135 PECOS PAC ID: 7416213327 Enrollment ID: I20171109001460 |
| Provider Name | Patricia Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467985853 PECOS PAC ID: 9739419524 Enrollment ID: I20190920000911 |
| Provider Name | Brek Lienhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871905729 PECOS PAC ID: 6507219185 Enrollment ID: I20240131000392 |
| Provider Name | Mari Brzostowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023110327 PECOS PAC ID: 6800249418 Enrollment ID: I20240131001218 |
| Provider Name | Kaitlin Santowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144743493 PECOS PAC ID: 8628421161 Enrollment ID: I20240131002358 |
| Provider Name | Katherine Connolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003967027 PECOS PAC ID: 4587017025 Enrollment ID: I20240131002573 |
| Provider Name | Kimberly Fouke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639517253 PECOS PAC ID: 6204289762 Enrollment ID: I20240131003039 |
| Provider Name | Amber Cotter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023484045 PECOS PAC ID: 0042663510 Enrollment ID: I20240131003719 |
| Provider Name | Skylar Nagy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477092468 PECOS PAC ID: 0244683720 Enrollment ID: I20240131004028 |
| Provider Name | Soji Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518281633 PECOS PAC ID: 2961855457 Enrollment ID: I20240131004101 |
| Provider Name | Amanda Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679029516 PECOS PAC ID: 2062865553 Enrollment ID: I20240131004398 |
| Provider Name | Jasmine Pasimio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518446574 PECOS PAC ID: 5496108995 Enrollment ID: I20240131004497 |
| Provider Name | Kathryn S. Kirk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053708255 PECOS PAC ID: 4789027806 Enrollment ID: I20240206002191 |
Brian Richardson, Psyd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Arlington Heights Rd, Suite 301, Arlington Heights, IL 60004 Phone: 847-650-0307 Fax: 847-222-9769 | |
Light Side Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 E Rand Rd Ste L109, Arlington Heights, IL 60004 Phone: 773-490-8863 | |
Amphora Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 N Wilke Rd Ste 102c, Arlington Heights, IL 60004 Phone: 224-349-2594 Fax: 224-350-8500 | |
Jura Adams, M.d., Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3405 N. Kennicott Avenue, Suite C, Arlington Heights, IL 60004 Phone: 847-483-0303 Fax: 847-483-0305 | |
Amy J. Wilder, Lcsw, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2025 S Arlington Heights Rd, Arlington Heights, IL 60005 Phone: 847-545-0400 Fax: 847-545-0405 | |
Northwest Adhd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Wilke Rd, Suite 403, Arlington Heights, IL 60005 Phone: 847-577-7705 Fax: 847-577-7712 | |
Tria A Murphy, Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 E Golf Rd Ste 1131, Arlington Heights, IL 60005 Phone: 773-631-8337 Fax: 773-302-1247 |