Provider Demographics
NPI:1912890765
Name:PSYCH FIRST BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:PSYCH FIRST BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGRACIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-420-6482
Mailing Address - Street 1:2720 S RIVER RD STE 142
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4119
Mailing Address - Country:US
Mailing Address - Phone:224-524-1675
Mailing Address - Fax:
Practice Address - Street 1:2720 S RIVER RD STE 142
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4119
Practice Address - Country:US
Practice Address - Phone:224-524-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty