| Ecker Center For Behavioral Health | |
|
1425 N Randall Rd Elgin IL 60123-2300 | |
| (847) 888-2211 | |
| (847) 697-3632 |
| Full Name | Ecker Center For Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 N Randall Rd, Elgin, Illinois |
| Authorized Official Name and Position | Pauline Rochfort (BILLING DIRECTOR) |
| Authorized Official Contact | 8476950484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecker Center For Behavioral Health 1845 Grandstand Pl Elgin IL 60123-6603 Ph: (847) 695-0484 | Ecker Center For Behavioral Health 1425 N Randall Rd Elgin IL 60123-2300 Ph: (847) 888-2211 |
| NPI Number | 1659549632 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 0941252423 |
|---|---|
| Medicare Enrollment ID | O20050214000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659549632 | NPI | - | NPPES |
| 04050 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Syed H Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477622819 PECOS PAC ID: 1355325994 Enrollment ID: I20040614000521 |
| Provider Name | Deborah A Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457498354 PECOS PAC ID: 3779535026 Enrollment ID: I20050215000193 |
| Provider Name | Caroline J Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699811091 PECOS PAC ID: 2769434018 Enrollment ID: I20050215000215 |
| Provider Name | Usha K Kartan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689720310 PECOS PAC ID: 9234232398 Enrollment ID: I20070309000142 |
| Provider Name | Patricia L Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184636474 PECOS PAC ID: 4385738830 Enrollment ID: I20070914000556 |
| Provider Name | Syed Waliuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104046630 PECOS PAC ID: 1658463534 Enrollment ID: I20080924000549 |
| Provider Name | Kimberly L Morstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639370083 PECOS PAC ID: 0042351611 Enrollment ID: I20100104000677 |
| Provider Name | Steven Ray Lindahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275602674 PECOS PAC ID: 0244488401 Enrollment ID: I20120912000535 |
| Provider Name | Mitchell Reid Halper |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205039658 PECOS PAC ID: 0648410548 Enrollment ID: I20130716000853 |
| Provider Name | Noor Fatima Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487836821 PECOS PAC ID: 6103981592 Enrollment ID: I20140204001240 |
| Provider Name | Annie W Kot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972693133 PECOS PAC ID: 9032332705 Enrollment ID: I20140527001677 |
| Provider Name | Kathryn Haeffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235535899 PECOS PAC ID: 9234451931 Enrollment ID: I20141209000247 |
| Provider Name | Balbina Enola Kainz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932343571 PECOS PAC ID: 9032430699 Enrollment ID: I20150608001669 |
| Provider Name | Steffanie Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205386174 PECOS PAC ID: 6204113335 Enrollment ID: I20170427001387 |
| Provider Name | Mark J Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104018050 PECOS PAC ID: 4880960871 Enrollment ID: I20171018002518 |
| Provider Name | Faiza Kareemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548305089 PECOS PAC ID: 2264731850 Enrollment ID: I20171026000437 |
| Provider Name | Brenda Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255772471 PECOS PAC ID: 8527311687 Enrollment ID: I20181019001729 |
| Provider Name | Christine Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740839539 PECOS PAC ID: 3870825656 Enrollment ID: I20191028002593 |
| Provider Name | Mariah J Kuick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023442456 PECOS PAC ID: 8123454162 Enrollment ID: I20200211000445 |
| Provider Name | Stephanie Barkemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215302039 PECOS PAC ID: 8224443635 Enrollment ID: I20210217001636 |
| Provider Name | Bernice Renee Boysen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427532878 PECOS PAC ID: 6901140664 Enrollment ID: I20230821003373 |
| Provider Name | Victoria Lee Gesinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295848240 PECOS PAC ID: 3577611631 Enrollment ID: I20240222000858 |
| Provider Name | Victoria Millar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295108769 PECOS PAC ID: 1052758570 Enrollment ID: I20240320001159 |
| Provider Name | Melissa Pazen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689281073 PECOS PAC ID: 1355789009 Enrollment ID: I20240401002759 |
| Provider Name | Ferrara Louise Kavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649025628 PECOS PAC ID: 7214378595 Enrollment ID: I20240517000848 |
| Provider Name | Alexandria Marie Amalfi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285396390 PECOS PAC ID: 2466894308 Enrollment ID: I20240523003253 |
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