Active NPI
Freelife Behavioral Health LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1184236002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FREELIFE BEHAVIORAL HEALTH LLC
- Practice address
- 5315 N Clark St # 215
Chicago, IL 60640-2290 - Phone
- (908) 229-3578
- NPI assigned
- Aug 21, 2020
- 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. Ian Bonner, PSYD
- Title
- Ceo
- Phone
- (908) 229-3578
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
5315 N Clark St # 215
Chicago, IL 60640-2290
Mailing address
5315 N Clark St # 215
Chicago, IL 60640-2290
Phone (908) 229-3578
Other practice location 1
5546 N Lakewood Ave Unit 2
Chicago, IL 60640-1313
Phone (908) 229-3578
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1245661511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1184236002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 N CLARK ST # 215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402290",
"telephone_number": "908-229-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 N CLARK ST # 215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402290",
"telephone_number": "908-229-3578"
}
],
"practiceLocations": [
{
"address_1": "5546 N Lakewood Ave Unit 2",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606401313",
"country_code": "US",
"telephone_number": "908-229-3578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREELIFE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-21",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "BONNER",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-229-3578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.