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GENESIS THERAPY CENTER NPI 1447264890


NPI Information

NPI: 1447264890
Provider Name: GENESIS THERAPY CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6006 W. 159TH STREET, BLDG. C
OAK FOREST, IL
ZIP 60452
Phone: (708) 535-7320
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GENESIS THERAPY CENTER is a mental health (including community mental health center) clinic center in Oak Forest, IL. GENESIS THERAPY CENTER NPI is 1447264890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6006 W. 159TH STREET, BLDG. C
OAK FOREST, IL
ZIP 60452
Phone: (708) 535-7320
Fax: (708) 535-7571

The provider's authorized official is Catherine E Fairfield .
The authorized official title is Executive Director and has the following contact phone number (708) 535-7320.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 9/6/2016.


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 License Number License State Primary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3103T00000XPsychologistNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC1900XPsychologistCounselingNo
6103TP2701XPsychologistGroup PsychotherapyNo
71041C0700XSocial WorkerClinicalNo
8251S00000XCommunity/Behavioral HealthNo
9261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
10261QM0850XClinic/CenterAdult Mental HealthNo
11261QM0801XClinic/CenterMental 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.