Active NPI
Professsional Health Associates LTD.
- Psychiatry Physician
- Palos Heights, IL
National Provider Identifier
1114020757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PROFESSSIONAL HEALTH ASSOCIATES LTD.
- Practice address
- 12255 S. 80TH Avenue
Suite 202
Palos Heights, IL 60463 - Phone
- (708) 923-7880
- Fax
- (708) 923-7888
- NPI assigned
- Sep 7, 2006
- 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
- Dr. Mark Robert Sinibaldi, M.D.
- Title
- President
- Phone
- (708) 923-7880
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
12255 S. 80TH Avenue
Suite 202
Palos Heights, IL 60463
Mailing address
12255 S. 80TH Avenue
Suite 202
Palos Heights, IL 60463
Phone (708) 923-7880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0991516762 | Other | IL | BLUE CROSS BLUE SHEILD |
National Provider Directory
National Provider DirectoryLocations
200 N Hammes Ave
Ste 3
Joliet, IL 60435
Phone (815) 744-8253
12255 S 80th Ave
Ste 202
Palos Heights, IL 60463
Phone (708) 923-7878
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Palos Heights, IL
- NPI 1376581413
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1508928490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114020757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 S. 80TH AVENUE",
"address_2": "SUITE 202",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-923-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 S. 80TH AVENUE",
"address_2": "SUITE 202",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-923-7880",
"fax_number": "708-923-7888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSSIONAL HEALTH ASSOCIATES LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SINIBALDI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-923-7880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0991516762",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.