TEAM BEHAVIORAL HEALTH


Address: 200 W Madison St # 49, Chicago, IL 60606-3414
Phone: 5133015643

TEAM BEHAVIORAL HEALTH (NPI# 1952875304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952875304
Entity Type Organization
Organization Name TEAM BEHAVIORAL HEALTH
Practice Address 200 W Madison St # 49
Chicago
IL 60606-3414
Mailing Address 1110 Pendleton St
Cincinnati
OH 45202-8812
Practice Telephone 5133015643
Mailing Telephone 5133015643
Enumeration Date 2019-01-18
Last Update Date 2019-01-18
Authorized Official Name HELEN HARLESTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5133015643
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265818231 Team Behavioral Health Community/Behavioral Health 1110 Pendleton St, 1, Cincinnati, OH 45202-8812 2015-07-31

Office Location

Street Address 200 W MADISON ST # 49
City CHICAGO
State IL
Zip Code 60606-3414

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1255880555 Katie Marie Edwards-humpal Nurse Practitioner 225 W Washington 2floor, Chicago, IL 60606 2016-09-27
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
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1144837055 Totality. Therapies LLC Clinic/Center 2027 W Division St Ste 157, Chicago, IL 60622-9024 2020-09-24
1790391373 Luminary Solutions, LLC Clinic/Center 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 2020-09-19
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1235745142 A Safe Haven, L.L.C. Clinic/Center 7355 N Damen Ave, Chicago, IL 60645-2311 2020-09-17
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Competitor

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City CHICAGO
Zip Code 60606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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