Organization Active NPI

Forest Professional Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
National Provider Identifier
1063299873
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Angelique Chen, PSY.D.NPI 1689020471
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.