Progressive Mental Health (NPI# 1598361651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1598361651 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE MENTAL HEALTH |
| Practice Address |
2259 W Taylor St Chicago IL 60612-4233 |
| Practice Telephone | 7735178360 |
| Mailing Address |
2259 W Taylor St Chicago IL 60612-4233 |
| Mailing Telephone | 7735178360 |
| Authorized Official Name | Sherann Ivy (APN) |
| Authorized Official Telephone | 3122852982 |
| Authorized Official Credential | APRN-FPA |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-02-17 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| No | 261QM0801X | Clinic/Center · Mental Health (Including Community Mental Health Center) | Ambulatory Health Care Facilities | ||
| No | 363LP0808X | Nurse Practitioner · Psychiatric/Mental Health | Physician Assistants & Advanced Practice Nursing Providers | ||
| Yes | 2084A0401X | Psychiatry & Neurology · Addiction Medicine | Allopathic & Osteopathic Physicians |
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631951 | Carrie Schmitt | 912 S Wood St, Chicago, IL 60612-4300 | 2016-06-29 | |
| 1548697618 | Connections Medical Group Associates LLC | 917 W Washington Blvd, Unit #113, Chicago, IL 60607-2203 | 2013-10-03 | |
| 1215208491 | Fred M Levin Md Sc | 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 | 2012-01-20 | |
| 1700086220 | Carol Lynn Childers | 25 E Washington St, #1726, Chicago, IL 60602-1708 | 2007-07-23 | |
| 1750415261 | Shelley J. Korshak | 30 N Michigan Ave, Suite 700, Chicago, IL 60602-3402 | 2007-03-15 | |
| 1093864449 | Joseph Richard Spatafora | 600 North Mcclurg Court, Suite 4411a, Chicago, IL 60611 | 2007-01-08 | |
| 1477639078 | Parveen Azam | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-10-27 | |
| 1568472819 | Roseland Community Hospital Association | 45 W 111th St, Chicago, IL 60628-4200 | 2006-08-09 | |
| 1003891458 | Roueen Rafeyan | 2525 S Michigan Ave, B-390, Chicago, IL 60616-2333 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555416 | Mathers Recovery LLC | 101 Towne Centre Ln, Fox Lake, IL 60020-1801 | 2019-12-16 | |
| 1013555416 | Mathers Recovery LLC | 81 E Grand Ave, Fox Lake, IL 60020-1557 | 2019-12-16 | |
| 1043351026 | Phillip G Helding Jr. | 950 N York Rd, Suite 107, Hinsdale, IL 60521-2950 | 2007-02-10 | |
| 1083252480 | Mathers Recovery LLC | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2019-12-16 | |
| 1093473241 | Elemental Telehealth Ltd | 14484 John Humphrey Dr, Orland Park, IL 60462-2638 | 2021-12-06 | |
| 1093473241 | Elemental Telehealth Ltd | 14484 John Humphrey Dr, Orland Park, IL 60462-2638 | 2021-12-06 | |
| 1093473241 | Elemental Telehealth Ltd | 14484 John Humphrey Dr, Orland Park, IL 60462-2638 | 2021-12-06 | |
| 1114129921 | Abid Khalid Nazeer | 1200 Harger Rd Ste 200, Oak Brook, IL 60523-1816 | 2007-06-04 | |
| 1124464912 | Surestep | 471 Briargate Dr, South Elgin, IL 60177-2225 | 2013-05-20 | |
| 1144741844 | Rose Medical Association, Inc. | 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 | 2017-07-03 | |
| Find all providers with the same taxonomy | ||||
| Street Address |
2259 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750964714 | Life Health and Wellness, Pllc | 2259 W Taylor St, Chicago, IL 60612-4233 | 2021-04-28 | |
| 1750964714 | Life Health and Wellness, Pllc | 2259 W Taylor St, Chicago, IL 60612-4233 | 2021-04-28 | |
| 1750964714 | Life Health and Wellness | 2259 W Taylor St, Chicago, IL 60612-4233 | 2021-04-28 | |
| 1750964714 | Life Health and Wellness | 2259 W Taylor St, Chicago, IL 60612-4233 | 2021-04-28 | |
| 1245841469 | Sunshine Psychiatry LLC | 2259 W Taylor St, Chicago, IL 60612-4233 | 2020-08-11 | |
| 1154942449 | Keisha Davell Cole | 2259 W Taylor St, Chicago, IL 60612-4233 | 2020-04-28 | |
| 1790321693 | Abigail M Hamilton | 2259 W Taylor St, Chicago, IL 60612-4233 | 2019-11-26 | |
| 1467919498 | Sherann Ivy | 2259 W Taylor St, Chicago, IL 60612-4233 | 2019-02-26 | |
| 1902379621 | Vonnise Renee' Hussey | 2259 W Taylor St, Chicago, IL 60612-4233 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114631975 | Elizabeth Crisostomo Lcsw LLC | 2045 W Grand Ave Ste B, Chicago, IL 60612-1577 | 2023-01-06 | |
| 1457065260 | Stephen C Young | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2023-01-06 | |
| 1265145650 | Miya A Ward | 3053 W Franklin Blvd, Chicago, IL 60612-1000 | 2022-12-30 | |
| 1053024588 | Claudia Rodriguez | 2003 W Fulton St, Chicago, IL 60612-2345 | 2022-12-29 | |
| 1457064180 | Michelle Sanders | 3053 W Franklin Blvd, Chicago, IL 60612-1000 | 2022-12-27 | |
| 1447962378 | Kelly King | 1700 W Van Buren St, Chicago, IL 60612-5500 | 2022-12-22 | |
| 1861104846 | Suzanne Gabbidon | 2003 W Fulton St # 303, Chicago, IL 60612-2345 | 2022-12-21 | |
| 1568174514 | Taylor Williamson | 1645 W Jackson Blvd Ste 603, Chicago, IL 60612-2643 | 2022-12-21 | |
| 1871204784 | Annie Perry Shideler | 845 S Damen Ave, Chicago, IL 60612-3727 | 2022-12-12 | |
| 1336859131 | Philomena Okonkwo | 1740 W Taylor St, Chicago, IL 60612-7232 | 2022-12-02 | |
| Find all providers in zip 60612 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.