Active NPI
Octave Behavioral Michigan PC
- Psychologist
- Springfield, IL
National Provider Identifier
1083423164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- OCTAVE BEHAVIORAL MICHIGAN PC
- Practice address
- 801 Adlai Stevenson Dr
Springfield, IL 62703-4261 - Phone
- (415) 360-3833
- Fax
- (628) 234-3048
- NPI assigned
- Jan 3, 2025
- Last updated
- Jun 27, 2025
- 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
- Kym Everett
- Title
- VP Revenue Operations
- Phone
- (650) 504-2289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Mailing address
PO Box 18481
Palatine, IL 60055-8481
Phone (415) 380-3833
Other practice location 1
812 Skyline Dr Ste 200
Marion, IL 62959-4874
Phone (415) 360-3833
Other practice location 2
544 Lakeview Pkwy Ste 100
Vernon Hills, IL 60061-1826
Phone (415) 360-3833
Other practice location 3
600 W Roosevelt Rd
Wheaton, IL 60187-5088
Phone (415) 360-3833
Other practice location 4
2200 S Main St Ste 217E
Lombard, IL 60148-5334
Phone (415) 360-3833
Other practice location 5
636 Church St Ste 416
Evanston, IL 60201-4580
Phone (415) 360-3833
Other practice location 6
825 Green Bay Rd Ste 210
Wilmette, IL 60091-2500
Phone (415) 360-3833
Other practice location 7
219 55th St Ste 202-203
Clarendon Hills, IL 60514-1596
Phone (415) 360-3833
Other practice location 8
2200 S Main St Ste 217E
Lombard, IL 60148-5334
Phone (415) 360-3833
Other practice location 9
975 S Durkin Dr Ste 101A
Springfield, IL 62704-8903
Phone (415) 360-3833
National Provider Directory
National Provider Directory- Tax ID family
- Octave Behavioral Michigan PC
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Nashville, TN
- NPI 1013761287
-
- Psychologist
- West Columbia, SC
- NPI 1023827003
-
- Psychologist
- Salem, OR
- NPI 1073367256
-
- Psychologist
- Upper Arlington, OH
- NPI 1306655485
-
- Psychologist
- East Lansing, MI
- NPI 1356026975
-
- Psychologist
- Madison, WI
- NPI 1649089624
-
- Psychologist
- Littleton, CO
- NPI 1740099829
-
- Psychologist
- Phoenix, AZ
- NPI 1801640081
-
- Psychologist
- Roseville, MN
- NPI 1891504973
-
- Psychologist
- Raleigh, NC
- NPI 1386498566
-
- Psychologist
- Peachtree Corners, GA
- NPI 1477307650
Locations
219 55th St
Ste 202203
Clarendon Hills, IL 60514
600 W Roosevelt Rd
Wheaton, IL 60187
Phone (630) 462-8810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1083423164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18481",
"city": "PALATINE",
"state": "IL",
"postal_code": "600558481",
"telephone_number": "415-380-3833",
"fax_number": "628-234-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ADLAI STEVENSON DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627034261",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048"
}
],
"practiceLocations": [
{
"address_1": "812 Skyline Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IL",
"postal_code": "629594874",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "544 Lakeview Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Vernon Hills",
"state": "IL",
"postal_code": "600611826",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601875088",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 S Main St Ste 217E",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601485334",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "636 Church St Ste 416",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602014580",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Green Bay Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912500",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 55th St Ste 202-203",
"address_purpose": "LOCATION",
"city": "Clarendon Hills",
"state": "IL",
"postal_code": "605141596",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 S Main St Ste 217E",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601485334",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "975 S Durkin Dr Ste 101A",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627048903",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OCTAVE BEHAVIORAL MICHIGAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "KYM",
"authorized_official_title_or_position": "VP REVENUE OPERATIONS",
"authorized_official_telephone_number": "650-504-2289"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.