NPIMap

Organization Active NPI

Behavioral Services Center

  • Community/Behavioral Health Agency
  • Mundelein, IL
National Provider Identifier
1043665276
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL SERVICES CENTER
Practice address
25975 N Diamond Lake Rd Ste 111
Mundelein, IL 60060-9400
Phone
(847) 673-8577
NPI assigned
Apr 25, 2016
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eugene Isyanov, PH.D.
Title
Clinical Services Director
Phone
(847) 673-8577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

25975 N Diamond Lake Rd Ste 111
Mundelein, IL 60060-9400

Mailing address

8707 Skokie Blvd Ste 207
Skokie, IL 60077-2272
Phone (847) 673-8577

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Services Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1043665276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 207",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772272",
            "telephone_number": "847-673-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25975 N DIAMOND LAKE RD STE 111",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609400",
            "telephone_number": "847-673-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "ISYANOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "847-673-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.