PHASES MENTAL HEALTH SERVICES PLLC
NPI 1083408512
Social Worker - Clinical in Berwyn, IL

Active since April 08, 2025
2722 CUYLER AVE, BERWYN, IL 60402(708) 317-9205 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phases Mental Health Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHASES MENTAL HEALTH SERVICES PLLC (NPI 1083408512) is a healthcare organization registered as a clinical in Berwyn, Illinois and active in the NPI registry since April 2025. The organization lists Kimberly Tiscia, Owner/therapist, as its authorized official.Information from the official NPPES registry record, last updated April 8, 2025.

NPPES Registry Identity

NPI1083408512
Entity TypeOrganization
Legal Business NamePHASES MENTAL HEALTH SERVICES PLLC
Location Address2722 CUYLER AVEBerwyn, IL 60402-2712
Mailing Address2722 Cuyler AveBerwyn, IL 60402-2712
Organization SubpartNo
Authorized OfficialKimberly TisciaOwner/therapist · (708) 317-9205
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1083408512 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised… Show more

2722 CUYLER AVE, Berwyn, IL 60402

Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083408512, enumerated as an "organization" on April 08, 2025.

The provider is located at 2722 CUYLER AVE BERWYN, IL 60402 and the phone number is (708) 317-9205.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.