GENESIS THERAPY CENTER NPI 1447264890

NPI Information

NPI: 1447264890
Provider Name: GENESIS THERAPY CENTER
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 6006 W. 159TH STREET, BLDG. C
OAK FOREST, IL
ZIP 60452
Phone: (708) 535-7320

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NPI Details

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 12/5/2024.

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	101YM0800X	Counselor	Mental Health	No
2	103T00000X	Psychologist		No
3	103TB0200X	Psychologist	Cognitive & Behavioral	No
4	103TC1900X	Psychologist	Counseling	No
5	103TP2701X	Psychologist	Group Psychotherapy	No
6	1041C0700X	Social Worker	Clinical	No
7	106H00000X	Marriage & Family Therapist		No
8	251S00000X	Community/Behavioral Health		No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
10	261QM0850X	Clinic/Center	Adult Mental Health	No
11	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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: 11/21/2025

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