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MATHERS CLINIC, LLC
NPI 1215194519
Psychiatry & Neurology - Child & Adolescent Psychiatry in Rockford, IL

Active since May 22, 2008
5804 ELAINE DR, ROCKFORD, IL 61108(815) 397-7654(815) 397-2712 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mathers Clinic, Llc NPPES

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

MATHERS CLINIC, LLC (NPI 1215194519) is a healthcare organization registered as a child & adolescent psychiatry in Rockford, Illinois and active in the NPI registry since May 2008. The organization lists Ramesh Babu Vemuri, Vice President, as its authorized official.

NPPES Registry Identity

NPI1215194519
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMATHERS CLINIC, LLC
Location Address5804 ELAINE DRRockford, IL 61108-2435
Mailing Address8420 W Bryn Mawr Ave, Suite 620Chicago, IL 60631-3479 · (773) 775-2800 · Fax (773) 775-3366
Phone(815) 397-7654
Fax(815) 397-2712
Organization SubpartNo
Authorized OfficialRamesh Babu VemuriVice President · (815) 397-7654
Enumeration DateMay 22, 2008
✔ NPI 1215194519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 36039266
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5804 ELAINE DR, Rockford, IL 61108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MR. MICHAEL L GAZIANO MSW LCSW
Social Worker (Clinical)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (385) 388-8750
MR. NORMAN H PFILE
Counselor (Mental Health)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
ANNE ELLEN DE VERNEUIL MA, CADC
Counselor (Professional)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
MR. JEFFREY MARTIN LCSW
Counselor (Professional)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
MRS. KATHLEEN MARIE FREEBURG MS LMFT
Marriage & Family Therapist
5804 ELAINE DR, MATHERS CLINIC
ROCKFORD, IL 61108
Winnebago County (815) 397-7654

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 Mathers Clinic, LLC's NPI number?

The NPI number for Mathers Clinic, LLC is 1215194519. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Mathers Clinic, LLC located?

Mathers Clinic, LLC is located at 5804 Elaine Dr, Rockford, IL 61108. The listed phone number is (815) 397-7654.

What is Mathers Clinic, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mathers Clinic, LLC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.