| Montrose Behavioral Health Hospital | |
|
4840 N Marine Dr Chicago IL 60640-7860 | |
| (773) 878-9700 | |
| Not Available |
| Full Name | Montrose Behavioral Health Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 4840 N Marine Dr, Chicago, Illinois |
| Authorized Official Name and Position | Brian Phillip Farley (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montrose Behavioral Health Hospital 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Montrose Behavioral Health Hospital 4840 N Marine Dr Chicago IL 60640-7860 Ph: (773) 878-9700 |
| NPI Number | 1972384758 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 4284021262 |
|---|---|
| Medicare Enrollment ID | O20220805003038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972384758 | NPI | - | NPPES |
| Provider Name | Angela Harper Mahome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265576011 PECOS PAC ID: 3072578277 Enrollment ID: I20041130000527 |
| Provider Name | Nicholas S Papanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134110448 PECOS PAC ID: 2961427703 Enrollment ID: I20100609000890 |
| Provider Name | Angelina D Ledonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407977838 PECOS PAC ID: 6305024365 Enrollment ID: I20110623000024 |
| Provider Name | Joao V Busnello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932433745 PECOS PAC ID: 6406081892 Enrollment ID: I20131018001505 |
| Provider Name | Peter W Nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013112143 PECOS PAC ID: 1759690811 Enrollment ID: I20151013000290 |
| Provider Name | Shivani Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215342902 PECOS PAC ID: 8729374004 Enrollment ID: I20180717002789 |
| Provider Name | Jennifer Lynn Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487185260 PECOS PAC ID: 7315370012 Enrollment ID: I20201205000017 |
| Provider Name | Alan Akira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710470257 PECOS PAC ID: 3476809187 Enrollment ID: I20210302001649 |
| Provider Name | Chudney Akissi Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881180206 PECOS PAC ID: 3274876768 Enrollment ID: I20210319000389 |
| Provider Name | Edward L Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417296005 PECOS PAC ID: 3971910431 Enrollment ID: I20210329002135 |
| Provider Name | Kristin Noel Rosseau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093243149 PECOS PAC ID: 9234408147 Enrollment ID: I20211207001510 |
| Provider Name | John Ernzen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346615663 PECOS PAC ID: 1759714454 Enrollment ID: I20211230000573 |
| Provider Name | Nicole Naglich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437805199 PECOS PAC ID: 1456730563 Enrollment ID: I20220621001387 |
| Provider Name | Andrew Franklin Schiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497370761 PECOS PAC ID: 8224455076 Enrollment ID: I20230111002076 |
| Provider Name | Pooja Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407411689 PECOS PAC ID: 3274958350 Enrollment ID: I20230201001860 |
| Provider Name | Mansi R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679093413 PECOS PAC ID: 3375875966 Enrollment ID: I20230308001593 |
| Provider Name | Jacob Robert Cross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295351401 PECOS PAC ID: 9436575107 Enrollment ID: I20230320000508 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |