OrganizationActive
Eventide Wellness Inc
NPI 1033714753 · Mental Health Clinic/Center (Including Community Mental Health Center) · Orland Park, IL
Provider details
- NPI number
- 1033714753
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Jenkins, Ed and Acting Secretary(708) 275-0934
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7021 W 153rd St Ste 5
Orland Park, IL 60462-5397
Phone: (708) 381-5009
Fax: (888) 419-1594
Street-level locationGet directions
Mailing address
Po Box 764
Manteno, IL 60950-0764
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.