NPIMap

Organization Active NPI

Biofeedback & Family Therapy LLC

Doing business as Family Life Solutions

  • Marriage & Family Therapist
  • Naperville, IL
National Provider Identifier
1053539494
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000634 Issued in IL
Legal business name
BIOFEEDBACK & FAMILY THERAPY LLC
Doing business as
Family Life Solutions
Practice address
231 S Washington St
Suite 201
Naperville, IL 60540-4656
Phone
(630) 913-3239
Fax
(630) 332-8151
NPI assigned
Apr 23, 2007
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Thomas A Mahan, PHDNPI 1508922147
Title
Owner
Phone
(630) 913-1627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000634 IL Primary

Addresses

Primary practice location

231 S Washington St
Suite 201
Naperville, IL 60540-4656

Mailing address

231 S Washington St
Suite 201
Naperville, IL 60540-4656
Phone (630) 913-3239

Other identifiers 1

IdentifierTypeStateIssuer
0002232702OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Family Life Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

231 S Washington St
Ste 201
Naperville, IL 60540
Phone (630) 913-3239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1053539494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404656",
            "telephone_number": "630-913-3239",
            "fax_number": "630-332-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404656",
            "telephone_number": "630-913-3239",
            "fax_number": "630-332-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOFEEDBACK & FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-913-1627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002232702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.