| Horizons Behavioral Health Llc | |
|
500 Coventry Ln Suite 205 Crystal Lake IL 60014-7579 | |
| (815) 455-7100 | |
| (815) 455-3951 |
| Full Name | Horizons Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 Coventry Ln, Crystal Lake, Illinois |
| Authorized Official Name and Position | Melinda Struthers (OFFICE MANAGER) |
| Authorized Official Contact | 8154795427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizons Behavioral Health Llc 500 Coventry Ln Suite 205 Crystal Lake IL 60014-7579 Ph: (815) 455-7100 | Horizons Behavioral Health Llc 500 Coventry Ln Suite 205 Crystal Lake IL 60014-7579 Ph: (815) 455-7100 |
| NPI Number | 1881692689 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 12/03/2009 |
| Medicare PECOS PAC ID | 4385531672 |
|---|---|
| Medicare Enrollment ID | O20040304000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881692689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 149003952 (Illinois) | Primary |
| Provider Name | Venkata Jampala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235138579 PECOS PAC ID: 2769458355 Enrollment ID: I20040903001243 |
| Provider Name | Susan M Olesch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225120405 PECOS PAC ID: 1658334628 Enrollment ID: I20041110000643 |
| Provider Name | Kathleen M Deroche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528067824 PECOS PAC ID: 9436245115 Enrollment ID: I20071010000537 |
| Provider Name | Thakshakamani Madamala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588663843 PECOS PAC ID: 9335206507 Enrollment ID: I20090316000546 |
| Provider Name | Ritu K Talwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518124932 PECOS PAC ID: 4587799408 Enrollment ID: I20100317000805 |
| Provider Name | Ray S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912906116 PECOS PAC ID: 0941334361 Enrollment ID: I20100819001060 |
| Provider Name | Aftab Poshni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821097924 PECOS PAC ID: 1850584590 Enrollment ID: I20101026000731 |
| Provider Name | Chandragupta Vedak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871592881 PECOS PAC ID: 0244305233 Enrollment ID: I20101026000754 |
| Provider Name | Eshwar P Gumidyala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891794137 PECOS PAC ID: 3971546276 Enrollment ID: I20101026000797 |
| Provider Name | Edward K Mcgarrigle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841299013 PECOS PAC ID: 6709079452 Enrollment ID: I20101026000823 |
| Provider Name | Jane Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538567862 PECOS PAC ID: 4688964380 Enrollment ID: I20160608002536 |
| Provider Name | George Chengalathu Gettys |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609004738 PECOS PAC ID: 0547584849 Enrollment ID: I20171113002775 |
| Provider Name | Adewumi C Odefadehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063900603 PECOS PAC ID: 0345595781 Enrollment ID: I20180626001731 |
| Provider Name | Nicolas J Comeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851865299 PECOS PAC ID: 0345582276 Enrollment ID: I20190425000804 |
| Provider Name | Linda Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134784861 PECOS PAC ID: 3779911490 Enrollment ID: I20200421000061 |
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Douglas N Neal & Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Drive, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779 | |
Edwin V. Gumapas M.d. Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
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