| Pra Behavioral Llc | |
|
1701 E Woodfield Rd Suite 1000 Schaumburg IL 60173 | |
| (847) 240-2211 | |
| (847) 240-2418 |
| Full Name | Pra Behavioral Llc |
|---|---|
| Speciality | Counselor |
| Location | 1701 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Paula Mazliach Comm (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8472402211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pra Behavioral Llc 1701 E Woodfield Rd Suite 1000 Schaumburg IL 60173-5113 Ph: (847) 240-2211 | Pra Behavioral Llc 1701 E Woodfield Rd Suite 1000 Schaumburg IL 60173 Ph: (847) 240-2211 |
| NPI Number | 1679546873 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 3274427729 |
|---|---|
| Medicare Enrollment ID | O20040227000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679546873 | NPI | - | NPPES |
| 1633897 | Other | IL | BCBS GROUP NUMBER |
| 512571 | Other | IL | VALUE OPTIONS GRP # |
| Provider Name | Robert Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023110384 PECOS PAC ID: 4981591641 Enrollment ID: I20040228000188 |
| Provider Name | Barry C Lipin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801998158 PECOS PAC ID: 5991692576 Enrollment ID: I20040228000327 |
| Provider Name | Deborah H Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568532539 PECOS PAC ID: 6901791326 Enrollment ID: I20040228000363 |
| Provider Name | Brian Zercher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871663856 PECOS PAC ID: 7810884491 Enrollment ID: I20040228000383 |
| Provider Name | Roberta Frankel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851493118 PECOS PAC ID: 5698662286 Enrollment ID: I20040228000413 |
| Provider Name | Paula L Sabin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811067887 PECOS PAC ID: 2860389467 Enrollment ID: I20040228000491 |
| Provider Name | Shah Nawaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003856139 PECOS PAC ID: 1355238221 Enrollment ID: I20040304000060 |
| Provider Name | Kimberly Ann Kerley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326118381 PECOS PAC ID: 8527075175 Enrollment ID: I20060317000402 |
| Provider Name | Janice H Spangler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760552731 PECOS PAC ID: 0446345458 Enrollment ID: I20071005000569 |
| Provider Name | Lizbeth K Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164574570 PECOS PAC ID: 3173696275 Enrollment ID: I20080723000342 |
| Provider Name | Florentine F Wilk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851628762 PECOS PAC ID: 9335272301 Enrollment ID: I20100728000921 |
| Provider Name | Brian Mcfaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306029277 PECOS PAC ID: 7113090382 Enrollment ID: I20110401000690 |
| Provider Name | Heather Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558596387 PECOS PAC ID: 5496939530 Enrollment ID: I20110413000962 |
| Provider Name | Jason Victor Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124284708 PECOS PAC ID: 0244492015 Enrollment ID: I20120424000735 |
| Provider Name | Jill J Pixley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225304694 PECOS PAC ID: 2062664246 Enrollment ID: I20121217000068 |
| Provider Name | Kari Lg Kimpton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891034542 PECOS PAC ID: 5991941957 Enrollment ID: I20130417000259 |
| Provider Name | Michael J Camara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760754766 PECOS PAC ID: 0941431076 Enrollment ID: I20140402001703 |
| Provider Name | Erika P Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770954646 PECOS PAC ID: 4587968896 Enrollment ID: I20160208000413 |
| Provider Name | Angela K Astleford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486790 PECOS PAC ID: 8224334511 Enrollment ID: I20160314000165 |
| Provider Name | Mitchell Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184084139 PECOS PAC ID: 5395098123 Enrollment ID: I20181025000210 |
| Provider Name | John Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104307917 PECOS PAC ID: 5092181156 Enrollment ID: I20221014002570 |
| Provider Name | Angelica Maria Pucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407291933 PECOS PAC ID: 2567825458 Enrollment ID: I20230824003316 |
| Provider Name | Dustin Dariusz Pilat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467080523 PECOS PAC ID: 7012356751 Enrollment ID: I20240415002499 |
| Provider Name | Andrew Ray Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346807401 PECOS PAC ID: 0648619395 Enrollment ID: I20240415003047 |
| Provider Name | Shafaq Javaid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619308749 PECOS PAC ID: 5890134407 Enrollment ID: I20240416001426 |
| Provider Name | Rasheema Aminah Lettsome-cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396004206 PECOS PAC ID: 8820530322 Enrollment ID: I20240612002311 |
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