TK Behavioral LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

TK BEHAVIORAL LLC

Practice address

40 Timberline Dr
Lemont, IL 60439-3848

Phone

(877) 257-9612

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Brian P Farley

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Timberline Knolls Residential Treatment Center Doing business as

Tax ID family

Ab Support Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• TK Behavioral, LLC

  • Clinic/Center
  • Orland Park, IL
  • NPI 1790232981
  NPD tax ID
• A&B Support Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waco, TX
  • NPI 1477790079
  NPD tax ID

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1124375944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CRESCENT CENTRE DR",
            "address_2": "SUITE 610",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677217",
            "telephone_number": "615-861-6000",
            "fax_number": "615-261-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TIMBERLINE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393848",
            "telephone_number": "877-257-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Knolls Residential Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timberline Knolls Residential Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• That Foodie Dietitian LLC
• Dana Marie Threet, MS
• Timberline Knolls LLC
• Timberline Knolls, LLC
• Jennifer Ann Timmins, MA
• Lawrence A Tomazin Jr.
• Veronica Torres, MA, LPC
• Michelle Tosch
• Richard Michael Trapp, MA
• Adrian Ramon Trujillo

• All providers in Lemont, IL
• Psychiatric Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.