Provider Demographics
NPI:1245385780
Name:HOUSE CALLS BEHAVIORAL HEALTH, P.C.
Entity Type:Organization
Organization Name:HOUSE CALLS BEHAVIORAL HEALTH, P.C.
Other - Org Name:HOUSE CALLS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-424-9072
Mailing Address - Street 1:PO BOX 1394
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60204-1394
Mailing Address - Country:US
Mailing Address - Phone:847-424-9072
Mailing Address - Fax:847-424-9042
Practice Address - Street 1:1559 DARROW AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4075
Practice Address - Country:US
Practice Address - Phone:847-424-9072
Practice Address - Fax:847-424-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634233OtherBLUE CROSS BLUE SHIELD