| The Thresholds | |
|
4101 N Ravenswood Ave Chicago IL 60613-2193 | |
| (773) 572-5500 | |
| (773) 271-2597 |
| Full Name | The Thresholds |
|---|---|
| Speciality | Clinic/Center |
| Location | 4101 N Ravenswood Ave, Chicago, Illinois |
| Authorized Official Name and Position | Marcella Klauer (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7735725480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Thresholds 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 | The Thresholds 4101 N Ravenswood Ave Chicago IL 60613-2193 Ph: (773) 572-5500 |
| NPI Number | 1669488029 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 6204826647 |
|---|---|
| Medicare Enrollment ID | O20040517000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669488029 | NPI | - | NPPES |
| MR92031 | Medicaid | IL | |
| 04133 | Medicaid | IL |
| Provider Name | Steven L Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124195599 PECOS PAC ID: 0244137412 Enrollment ID: I20031216000427 |
| Provider Name | Kimberly Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508948670 PECOS PAC ID: 7810896206 Enrollment ID: I20040105000759 |
| Provider Name | Mandy Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760401582 PECOS PAC ID: 6608883780 Enrollment ID: I20070222000598 |
| Provider Name | Jennifer J Clumpner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992964175 PECOS PAC ID: 7517026065 Enrollment ID: I20081112000703 |
| Provider Name | Thanh S Thai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679739148 PECOS PAC ID: 9032303102 Enrollment ID: I20101102001354 |
| Provider Name | Clare T Wildes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093040594 PECOS PAC ID: 9537356696 Enrollment ID: I20101215000507 |
| Provider Name | Susan E Niezgoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952491110 PECOS PAC ID: 9032197298 Enrollment ID: I20140416000917 |
| Provider Name | Mary H Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326464439 PECOS PAC ID: 3173749017 Enrollment ID: I20140729001945 |
| Provider Name | Erin M Petrusic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124432497 PECOS PAC ID: 8325366867 Enrollment ID: I20150414001434 |
| Provider Name | Sarah Bier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962920884 PECOS PAC ID: 8123386646 Enrollment ID: I20171211001373 |
| Provider Name | Lori Anne Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154575660 PECOS PAC ID: 5799020244 Enrollment ID: I20190102003019 |
| Provider Name | Mayurika Pise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811383334 PECOS PAC ID: 5193025104 Enrollment ID: I20190722001139 |
| Provider Name | Regina Marie Shasha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508993031 PECOS PAC ID: 0042626038 Enrollment ID: I20210317002347 |
| Provider Name | Jayna Gagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427709971 PECOS PAC ID: 1456729334 Enrollment ID: I20221128000486 |
| Provider Name | Crystal Monique Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528780392 PECOS PAC ID: 5294108056 Enrollment ID: I20230227002521 |
| Provider Name | Johanna Dalzell-mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396442000 PECOS PAC ID: 1456726934 Enrollment ID: I20230414001459 |
| Provider Name | Karen M Robertie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508064221 PECOS PAC ID: 1557714078 Enrollment ID: I20240131001993 |
| Provider Name | Shelbi Lynn Edens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124709258 PECOS PAC ID: 1557718483 Enrollment ID: I20240206003143 |
| Provider Name | Caroline Heller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952940736 PECOS PAC ID: 2163864893 Enrollment ID: I20240528001241 |
| Provider Name | Marianne Winifred Hutchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154184059 PECOS PAC ID: 6901248376 Enrollment ID: I20240530002763 |
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 |