NPIMap

Organization Active NPI

Clarity Clinic Arlington Heights, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington Heights, IL
National Provider Identifier
1104341999
Registry record updated Jul 10, 2024
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
CLARITY CLINIC ARLINGTON HEIGHTS, LLC
Practice address
2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142
Phone
(312) 929-2172
Fax
(312) 754-9402
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Pavan Yarlagaddaraghu Prasad, MDNPI 1659668440
Title
Ceo
Phone
(248) 872-2400

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 036137175 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142

Mailing address

2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142
Phone (312) 929-2172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218002359 IL Part B Supplier - Clinic/Group Practice 0840558094 Receives reassigned benefits from 44 practitioners
Practice locations: Arlington Heights, IL; Evanston, IL

National Provider Directory

National Provider Directory

Locations

2101 S Arlington Heights Rd
Ste 116
Arlington Heights, IL 60005
Phone (847) 666-5339

501 Davis St
Evanston, IL 60201
Phone (312) 546-4193

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1104341999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 116",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054142",
            "telephone_number": "312-929-2172",
            "fax_number": "312-754-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 116",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054142",
            "telephone_number": "312-929-2172",
            "fax_number": "312-754-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY CLINIC ARLINGTON HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "PAVAN",
        "authorized_official_middle_name": "YARLAGADDARAGHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-872-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": "036137175",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.