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RESURRECTION BEHAVIORAL HEALTH
NPI 1083978324
Clinic/Center - Mental Health (Including Community Mental Health Center) in Melrose Park, IL

Active since July 02, 2012
1414 MAIN ST, MELROSE PARK, IL 60160(708) 681-0073(708) 681-3958 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Resurrection Behavioral Health NPPES

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

RESURRECTION BEHAVIORAL HEALTH (NPI 1083978324), doing business as Proviso Family Services, is a healthcare organization registered as a mental health (including community mental health center) in Melrose Park, Illinois and active in the NPI registry since July 2012. The organization lists Donald Pinkston, Manager, as its authorized official.

NPPES Registry Identity

NPI1083978324
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRESURRECTION BEHAVIORAL HEALTH
Location Address1414 MAIN STMelrose Park, IL 60160-3902
Mailing Address1414 Main StMelrose Park, IL 60160-3902 · (708) 681-0073 · Fax (708) 681-3958
Phone(708) 681-0073
Fax(708) 681-3958
Organization SubpartNo
Authorized OfficialDonald PinkstonManager · (708) 681-0073
Enumeration DateJuly 2, 2012
✔ NPI 1083978324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 178.007422
1414 MAIN ST, Melrose Park, IL 60160
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Other Names 1

Former Legal Business NameProviso Family Services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON PETER SCHALLACK MFA
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
ZOEY WARD BRYSON BA
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
RICHARD O SODEINDE
Counselor
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
PRESENCE BEHAVIORAL HEALTH PROCARE CENTERS
Community/Behavioral Health
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 786-8501
JOANNA GIORDANO MA, LPC, QMHP
Counselor (Professional)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
JACQUELINE OROZCO
Behavior Technician
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 704-4523
MICHELLE LAGRIMAS B.A.
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-4357
DOUGLAS WILLIAM BARGE
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 786-8546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resurrection Behavioral Health's NPI number?

The NPI number for Resurrection Behavioral Health is 1083978324. It was assigned to this organization in the NPPES registry on July 2, 2012. The provider was formerly known as Proviso Family Services.

Where is Resurrection Behavioral Health located?

Resurrection Behavioral Health is located at 1414 Main St, Melrose Park, IL 60160. The listed phone number is (708) 681-0073.

What is Resurrection Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Resurrection Behavioral Health was last updated on July 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.