MX Behavioral Health SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MX BEHAVIORAL HEALTH SC

Practice address

133 Mohawk Dr
Bourbonnais, IL 60914-1349

Phone

(815) 937-4790

Fax

(815) 937-4896

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ming Xu, MD

Title

President

Phone

(815) 279-6065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154534089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 SCOTT LN",
            "address_2": "ORLAND PARK",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627019",
            "telephone_number": "815-279-6065",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOHAWK DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141349",
            "telephone_number": "815-937-4790",
            "fax_number": "815-937-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MX BEHAVIORAL HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-279-6065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Psychiatry Physician in Illinois

• 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.

Verify at the official NPI Registry.