GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
NPI 1639271794
Psychiatric Unit in Melrose Park, IL
NPI Status: Active since September 01, 2006
Contact Information
701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-3200
Fax: (708) 681-9643
- Organization
- Psychiatric Unit
- Accepts Insurance
About GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
This page provides the complete NPI Profile along with additional information for Gottlieb Memorial Hospital Geriatric Psychiatric Unit, a provider established in Melrose Park, Illinois operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1639271794 assigned on September 2006. The practitioner's primary taxonomy code is 273R00000X with license number 0005561 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Gottlieb Memorial Hospital Geriatric Psychiatric Unit. The authorized official of this NPI record is Ms. Ellyn Chin (Vice President Of Finance)
- NPI
- 1639271794
- Provider Legal Name
- GOTTLIEB MEMORIAL HOSPITAL
- Other Organization Name
- GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 701 W NORTH AVE MELROSE PARK, IL 60160
- Location Phone
- (708) 681-3200
- Location Fax
- (708) 681-9643
- Mailing Address
- 701 W NORTH AVE MELROSE PARK, IL 60160
- Mailing Phone
- (708) 681-3200
- Mailing Fax
- (708) 681-9643
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-01-2006
- Last Update Date
- 09-15-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Unit
- Taxonomy Code
- 273R00000X
- Type
- Hospital Units
- License No.
- 0005561
- License State
- IL
- Taxonomy Description
- In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
14S008 | MEDICARE PIN (08) | IL | |
0005561 | OTHER (01) | IL | STATE LICENSE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 2 | 7 | 1 | 7 | 9 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 4 | 7 | 2 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 4 + 7 + 2 + 7 + 1 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1639271794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1851374912 | LISA M. SHURBA DIETICIAN REGISTERED Individual | Dietitian, Registered | 701 W NORTH AVE DIETARY DEPARTMENT MELROSE PARK, IL 60160 (708) 681-3200 |
1235112780 | FALGUNI A. PARIKH MNT Individual | Dietitian, Registered | 701 W NORTH AVE DIETARY DEPARTMENT MELROSE PARK, IL 60160 (708) 681-3200 |
1336181197 | DR. PETER T JOO M.D. Individual | Internal Medicine (Adolescent Medicine) | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1306850771 | JOHN PAUL SIMS MD Individual | Anesthesiology | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3202 |
1427061936 | RJM PATHOLOGY CONSULTANTS LTD Organization | Pathology (Clinical Pathology/Laboratory Medicine) | 701 W NORTH AVE MELROSE PARK, IL 60160 (877) 861-9294 |
1366555245 | GOTTLIEB MEMORIAL HOSPITAL Organization | Skilled Nursing Facility | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1790898674 | GOTTLIEB MEMORIAL HOSPITAL Organization | Dietitian, Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1538238860 | DR. KAREN CERVENKA M.D. Individual | Emergency Medicine | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1679643902 | DR. RAVINDER DHILLON M. D. Individual | Emergency Medicine | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1659537298 | DR. SUZANNE THI PHAM M.D. Individual | Internal Medicine | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1578897369 | STEPHANIE ROSEN Individual | Speech-Language Pathologist | 701 W NORTH AVE REHAB SERVICES/THERAPY MELROSE PARK, IL 60160 (708) 681-3200 |
1225362007 | ELISA O SULLIVAN Individual | Occupational Therapist | 701 W NORTH AVE REHAB SERVICES/THERAPY MELROSE PARK, IL 60160 (708) 681-3200 |
1851625644 | PATRICIA BODEN Individual | Speech-Language Pathologist | 701 W NORTH AVE REHAB SERVICES/THERAPY MELROSE PARK, IL 60160 (708) 681-3200 |
1679718365 | MRS. COLLEEN DUFOUR MARTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (847) 945-4550 |
1558698340 | STEPHANIE M REIBER CRNA Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1770763252 | MS. THERESA ANN OLES MSN Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1831170232 | GOTTLIEB MEMORIAL HOSPITAL Organization | General Acute Care Hospital | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1811247976 | LISA M HAWKS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (847) 921-9733 |
1760880900 | DANA MARIE MACALUSO CRNA Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
1396128393 | AUDREY A LESS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 W NORTH AVE MELROSE PARK, IL 60160 (708) 681-3200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639271794, enumerated in the NPI registry as an "organization" on September 01, 2006
The provider is located at 701 W North Ave Melrose Park, Il 60160 and the phone number is (708) 681-3200
This medical organization specializes in Psychiatric Unit with taxonomy code 273R00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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