Aspen Behavioral Care | |
3233 N Arlington Heights Rd Ste 100 Arlington Hts IL 60004-1557 | |
(847) 259-8583 | |
(847) 259-8935 |
Full Name | Aspen Behavioral Care |
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Speciality | Psychologist |
Location | 3233 N Arlington Heights Rd Ste 100, Arlington Hts, Illinois |
Authorized Official Name and Position | Mark Frederick Frazier (DIRECTOR) |
Authorized Official Contact | 8472598583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspen Behavioral Care 3233 N Arlington Heights Rd Ste 100 Arlington Hts IL 60004-1557 Ph: (847) 259-8583 | Aspen Behavioral Care 3233 N Arlington Heights Rd Ste 100 Arlington Hts IL 60004-1557 Ph: (847) 259-8583 |
NPI Number | 1093761439 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 09/09/2020 |
Certification Date | 09/09/2020 |
Medicare PECOS PAC ID | 0941100366 |
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Medicare Enrollment ID | O20040112000172 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093761439 | NPI | - | NPPES |
21623169 | Other | IL | BLUE CROSS BLUE SHIELD |
789710000 | Other | IL | MAGELLAN PROVIDER NUMBER |
7604241 | Other | IL | AETNA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Mark F Frazier |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679510796 PECOS PAC ID: 1759281942 Enrollment ID: I20040713000231 |
Provider Name | Lauren G Williams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992745293 PECOS PAC ID: 7517922057 Enrollment ID: I20041124000238 |
Provider Name | Bernadette A Hudetz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134385792 PECOS PAC ID: 9830266352 Enrollment ID: I20080925000563 |
Provider Name | Karen A Drescher |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467781740 PECOS PAC ID: 9931375581 Enrollment ID: I20120103000132 |
Provider Name | Melissa C Mahon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932304102 PECOS PAC ID: 7911164231 Enrollment ID: I20120127000956 |
Provider Name | Jennifer L Lindsey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689971541 PECOS PAC ID: 2860638772 Enrollment ID: I20130419000470 |
Provider Name | Steven J Bernfeld |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538577275 PECOS PAC ID: 7315167335 Enrollment ID: I20140925001033 |
Provider Name | Eileen A Myles |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740576776 PECOS PAC ID: 9335467240 Enrollment ID: I20150406000056 |
Provider Name | Noel W Widholm |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881088912 PECOS PAC ID: 7911226089 Enrollment ID: I20150512002132 |
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