Beverly Group Mental Health Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149010964 Issued in IL

Legal business name

BEVERLY GROUP MENTAL HEALTH SERVICES, INC

Practice address

4444 S Berkeley Ave
Chicago, IL 60653-3610

Phone

(773) 490-0576

Fax

(773) 303-8345

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Anthony Riggio, LCSW,MSW,MS,CADC

Title

President

Phone

(773) 490-0576

Specialties & licenses 1

Addresses

Tax ID family

Beverly Group Mental Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Beverly Group MHS, Inc.

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1073831525
  NPD tax ID

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1164715181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804811",
            "telephone_number": "773-490-0576",
            "fax_number": "773-303-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533610",
            "telephone_number": "773-490-0576",
            "fax_number": "773-303-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY GROUP MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "RIGGIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-490-0576",
        "authorized_official_credential": "LCSW,MSW,MS,CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149010964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace A Beveridge, PA-C
• Jennifer Lynn Beverlin, D.C.
• Beverly Behavioral Health, LTD
• Beverly Bone and Joint Clinic LLC
• Beverly Family Chiropractic Center
• Beverly Group MHS, Inc.
• Beverly Henderson LTD P.C
• Beverly Hills Home Care
• Beverly Hills Home Services, Inc
• Beverly Physical Therapy LTD

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.