Active NPI
Lotus Behavioral Health and Wellness, LLC
- Adult Mental Health Clinic/Center
- Highland Park, IL
National Provider Identifier
1033515796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 071.007970
- Legal business name
- LOTUS BEHAVIORAL HEALTH AND WELLNESS, LLC
- Practice address
- 1910 1St St Ste 302
Highland Park, IL 60035-3146 - Phone
- (312) 420-6427
- NPI assigned
- Nov 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Megan Roehrig Tondu, PH.D.
- Title
- Owner
- Phone
- (312) 420-6427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 071.007970 | IL | Primary |
Addresses
Primary practice location
1910 1St St Ste 302
Highland Park, IL 60035-3146
Mailing address
135 Montgomery LN
Glenview, IL 60025-4924
Phone (312) 420-6427
National Provider Directory
National Provider DirectoryLocations
1910 1st St
Ste 302
Highland Park, IL 60035
Phone (312) 420-6427
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Highland Park, IL
- NPI 1326343344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415318400000",
"number": "1033515796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 MONTGOMERY LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254924",
"telephone_number": "312-420-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 1ST ST STE 302",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353146",
"telephone_number": "312-420-6427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS BEHAVIORAL HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A",
"authorized_official_last_name": "TONDU",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "ROEHRIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-420-6427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "071.007970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.