ANDERSONVILLE BEHAVIORAL HEALTH, LLC
Psychologist

Address: 1509 W Berwyn Ave Ste 204, Chicago, IL 60640-8058

ANDERSONVILLE BEHAVIORAL HEALTH, LLC (NPI# 1770174955) 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) 1770174955
Entity Type Organization
Organization Name ANDERSONVILLE BEHAVIORAL HEALTH, LLC
Practice Address 1509 W Berwyn Ave Ste 204
Chicago
IL 60640-8058
Practice Telephone 8479892101
Mailing Address 1509 W Berwyn Ave Ste 204
Chicago
IL 60640-8058
Mailing Telephone 8479892101
Certification Date 2021-01-29
Enumeration Date 2021-01-29
Last Update Date 2021-01-29
Authorized Official Telephone 8479892101
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 103T00000X Psychologist 193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Steven A Migalski Doing Business As Name

Office Location

Street Address 1509 W BERWYN AVE STE 204
City CHICAGO
State IL
Zip Code 60640-8058

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
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1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
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1477061620 Yesenia Vargas Nurse Practitioner · Obstetrics & Gynecology 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
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1184144081 Ellie Navidson · Graham Shaw Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417551110 Dr. Valentina, LLC 11848 S Western Ave, Chicago, IL 60643-4734 2020-11-24
1689275265 Susan Benjamin Feingold Psyd and Associates LLC 1038 N Crosby St, Chicago, IL 60610-2404 2020-11-02
1336748367 Wh Il Medical Pllc · Walmart Health 1715 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1013524818 Lincoln Park Psychology, Inc. 644 W Webster Ave # B, Chicago, IL 60614-3710 2020-09-25
1962016386 Brittney Aubin 2555 N Clark St Apt 201, Chicago, IL 60614-1722 2020-09-02
1235750860 Dia Anjali Mason 1234 N Kedzie Ave, Chicago, IL 60651-2408 2020-05-05
1811532880 Emily Wolodiger 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 2019-11-13
1518500099 Allow Wellness LLC 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 2019-10-28
1619510914 Keeshawna Brooks 325 N Wells St Ofc 523, Chicago, IL 60654-7024 2019-10-20
1104468800 Emotion-Focused Therapy Chicago, LLC 230 E Ohio St Ste 405, Chicago, IL 60611-5288 2019-10-14
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City CHICAGO
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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.