Active NPI
Forest Professional Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buffalo Grove, IL
National Provider Identifier
1063299873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FOREST PROFESSIONAL SERVICES, LLC
- Practice address
- 642 Buckthorn Ter
Buffalo Grove, IL 60089-1832 - Phone
- (847) 668-6518
- NPI assigned
- Sep 13, 2023
- 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
- Angelique Chen, PSY.D.
- Title
- Psychologist
- Phone
- (847) 668-6518
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
642 Buckthorn Ter
Buffalo Grove, IL 60089-1832
Mailing address
642 Buckthorn Ter
Buffalo Grove, IL 60089-1832
Phone (847) 668-6518
Other names 1
- Forest Professional Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Buffalo Grove, IL
- NPI 1689020471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1063299873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 BUCKTHORN TER",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891832",
"telephone_number": "847-668-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 BUCKTHORN TER",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891832",
"telephone_number": "847-668-6518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PROFESSIONAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "ANGELIQUE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "847-668-6518",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Professional Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.