OrganizationActive
Fresh Start Behaviorial Center
NPI 1184883779 · Psychiatry Physician · Sauk Village, IL
Provider details
- NPI number
- 1184883779
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Carroll, Medical Director(708) 757-2444
- License
- 36093329 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
8 Surrey Brook Plz
Sauk Village, IL 60411-4913
Phone: (708) 757-2444
Fax: (708) 757-2449
Approximate (ZIP-level) locationGet directions
Mailing address
8 Surrey Brook Plz
Sauk Village, IL 60411-4913
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.