NPIMap

Organization Active NPI

TMH Behavioral Services P.C.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1164997284
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TMH BEHAVIORAL SERVICES P.C.
Practice address
710 E 47TH St Ste 203W
Chicago, IL 60653-0120
Phone
(773) 828-4940
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Tytannie Harris, LCSWNPI 1144646621
Title
Owner
Phone
(773) 701-7486

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

710 E 47TH St Ste 203W
Chicago, IL 60653-0120

Mailing address

710 E 47TH St Ste 203W
Chicago, IL 60653-0120
Phone (773) 828-4940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000042 IL Part B Supplier - Clinic/Group Practice 2264737618 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Chicago, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1642 E 56th St
Ste 110
Chicago, IL 60637
Phone (773) 701-7486

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1164997284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMH BEHAVIORAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TYTANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-701-7486",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.