NPIMap

Organization Active NPI

Baugh Behavioral Health Associates, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1043930191
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BAUGH BEHAVIORAL HEALTH ASSOCIATES, PLLC
Practice address
2090 Larkin Ave Ste 5A2
Elgin, IL 60123-5849
Phone
(224) 454-1719
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Mrs. Yolanda Baugh, PMHNP-BCNPI 1215536479
Title
Owner
Phone
(224) 489-8357

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2090 Larkin Ave Ste 5A2
Elgin, IL 60123-5849

Mailing address

2090 Larkin Ave Ste 5A2
Elgin, IL 60123-5849
Phone (224) 582-3292

Other practice location 1

2625 W Piedmont Rd
Phoenix, AZ 85041-9540
Phone (224) 454-1719

Other practice location 2

293 Nautical Way
Elgin, IL 60123-4410
Phone (224) 489-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230118000880 IL Part B Supplier - Clinic/Group Practice 4789055369 Receives reassigned benefits from 2 practitioners
Practice locations: Elgin, IL
O20241030001698 AZ Part B Supplier - Clinic/Group Practice 4789055369 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2090 Larkin Ave
Ste 5A2
Elgin, IL 60123
Phone (224) 454-1719

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1043930191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 LARKIN AVE STE 5A2",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235849",
            "telephone_number": "224-582-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 LARKIN AVE STE 5A2",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235849",
            "telephone_number": "224-454-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 W Piedmont Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850419540",
            "country_code": "US",
            "telephone_number": "224-454-1719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "293 Nautical Way",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234410",
            "country_code": "US",
            "telephone_number": "224-489-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAUGH BEHAVIORAL HEALTH ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-489-8357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.