NPIMap

Organization Active NPI

Aspen Behavioral Care

  • Psychologist
  • Arlington HTS, IL
National Provider Identifier
1093761439
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ASPEN BEHAVIORAL CARE
Practice address
3233 N Arlington Heights Rd Ste 100
Arlington HTS, IL 60004-1557
Phone
(847) 259-8583
Fax
(847) 259-8935
NPI assigned
May 26, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Dr. Mark Frederick Frazier, PSY.D.NPI 1679510796
Title
Director
Phone
(847) 259-8583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

3233 N Arlington Heights Rd Ste 100
Arlington HTS, IL 60004-1557

Mailing address

3233 N Arlington Heights Rd Ste 100
Arlington HTS, IL 60004-1557
Phone (847) 259-8583

Other identifiers 3

IdentifierTypeStateIssuer
21623169OtherILBLUE CROSS BLUE SHIELD
7604241OtherILAETNA PROVIDER NUMBER
789710000OtherILMAGELLAN PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1655 N Arlington Heights Rd
Ste 102E
Arlington Heights, IL 60004
Phone (847) 259-8583

3233 N Arlington Heights Rd
Ste 100
Arlington Heights, IL 60004
Phone (847) 259-8583

139 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 259-8583

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1093761439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "847-259-8583",
            "fax_number": "847-259-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "847-259-8583",
            "fax_number": "847-259-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-259-8583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21623169",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7604241",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "789710000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.