Collaborative Behavioral Health LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008824 Issued in IL

Legal business name

COLLABORATIVE BEHAVIORAL HEALTH LLC

Practice address

4711 Golf Rd
Suite 1200
Skokie, IL 60076-1224

Phone

(847) 922-3253

Fax

(847) 679-8002

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Topel, PSYDNPI 1861704207

Title

Manager

Phone

(847) 922-3253

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Michael Edward Topel, PSYD

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1861704207
  Medicare reassignment Care Compare group NPD Authorized official
• Mollyrose Kelly, MA, LCPC

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1386126449
  Medicare reassignment Care Compare group NPD
• Ian V Mackey, M.S., P.A.-C

  • Physician Assistant
  • Skokie, IL
  • NPI 1720109424
  NPD (past)
• Nadia Neimanas

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1518429471
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1194190520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761200",
            "telephone_number": "847-922-3253",
            "fax_number": "847-679-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "SUITE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "847-922-3253",
            "fax_number": "847-679-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TOPEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-922-3253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008824",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee S Cohen, OT
• Simcha Cohen, APNP
• Richard A Cohn, MD
• Colleen Elizabeth Coley, M.S., BCBA
• Victoria Lee Coli, PA-C
• Jamill Collins, M.A., LMFT, LPHA
• Sandra B Collins, APN FNP-C
• Combinedcare, P.C.
• Comfort Care Hospice, Inc.
• Comfort Health Network SC

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.