OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE NPI 1437682937

NPI Information

NPI: 1437682937
Provider Name: OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE

Doing Business As: OBSIDIAN INSTITUTE OF EDUCATION AND RESEARCH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
930 175TH ST STE 1E
HOMEWOOD, IL
ZIP 60430
Phone: (708) 462-2134
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OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE is a mental health (including community mental health center) clinic center in Homewood, IL. OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE NPI is 1437682937. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Obsidian Institute Of Education And Research.

The provider's business location address is:

930 175TH ST STE 1E
HOMEWOOD, IL
ZIP 60430-078
Phone: (708) 462-2134

The provider's authorized official is Erica Washington .
The authorized official title is Director Of Operations and has the following contact phone number (708) 462-2134.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	1041C0700X	Social Worker	Clinical	No
4	171100000X	Acupuncturist		No
5	225700000X	Massage Therapist		No
6	251S00000X	Community/Behavioral Health		No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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