Covenant Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COVENANT BEHAVIORAL HEALTH SERVICES

Practice address

1045 Dixie Hwy
Chicago Heights, IL 60411-2622

Phone

(708) 964-7983

NPI assigned

Nov 1, 2022

Organization subpart

Yes

Parent organization

ROYAL PRINCESS DEVELOPMENTAL INCAs reported in NPPES

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

Authorized official

Name

Dr. Adenike Akorede

Title

President

Phone

(708) 964-7983

Specialties & licenses 4

Addresses

Other names 1

• Royal Princess Developmental Inc. Doing business as

Tax ID family

Covenant Behavioral Health Services2 organizations share this tax ID, including this one

Part of

Covenant Behavioral Health Services

Other organizations with this tax ID 1

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

• Royal Covenant Home Nursing Agency

  • Nursing Care Agency
  • Chicago Heights, IL
  • NPI 1114784642
  NPD tax ID

Locations

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1083321863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622",
            "telephone_number": "708-964-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL PRINCESS DEVELOPMENTAL INC",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "AKOREDE",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-964-7983",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "Royal Princess Developmental Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Princess Developmental Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamella Rasheen Compton
• Patricia Connor Conner
• Starsky Conner
• Marc Connery, MD
• Karol A Corey, OT
• Covenant Medical Devices and Supplies
• Crest Health Solutions Co
• Lashonda Crockett
• Catherine Cunningham, MSW
• Kristin Michelle Daugherty, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.