NPIMap

Organization Active NPI

Presence Behavioral Health

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1083141493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRESENCE BEHAVIORAL HEALTH
Practice address
1127 N Oakley Blvd
NFC BLDG 3Rd Floor
Chicago, IL 60622-3507
Phone
(312) 770-2317
Fax
(312) 770-2557
NPI assigned
May 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESENCE CHICAGO HOPSITAL NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Frank Perham
Title
Vice President
Phone
(312) 770-2317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

1127 N Oakley Blvd
NFC BLDG 3Rd Floor
Chicago, IL 60622-3507

Mailing address

1127 N Oakley Blvd
NFC BLDG 3Rd Floor
Chicago, IL 60622-3507
Phone (312) 770-2317

Other names 1

  • St. Mary & St. Elizabeth Medical center Other name

National Provider Directory

National Provider Directory
Tax ID family
Saint Mary Saint Elizabeth Medical Center8 organizations share this tax ID, including this one
Part of
Saint Mary Saint Elizabeth Medical Center

Other organizations with this tax ID 7

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

Locations

1127 N Oakley Blvd
Bldg 3RD
Chicago, IL 60622
Phone (312) 770-2317

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083141493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 N OAKLEY BLVD",
            "address_2": "NFC BLDG 3RD FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223507",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N OAKLEY BLVD",
            "address_2": "NFC BLDG 3RD FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223507",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE CHICAGO HOPSITAL NETWORK",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERHAM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-770-2317"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary & St. Elizabeth Medical center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.