NPIMap

Organization Active NPI

Associates in Behavioral Science, LTD.

Doing business as Associates in Behavioral Science

  • Clinical Psychologist
  • Berwyn, IL
National Provider Identifier
1245459395
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003731 Issued in IL
Legal business name
ASSOCIATES IN BEHAVIORAL SCIENCE, LTD.
Doing business as
Associates in Behavioral Science
Practice address
6201 West Cermak
2ND Floor, Lombard Entrance
Berwyn, IL 60402-5101
Phone
(708) 788-8808
Fax
(708) 788-8805
NPI assigned
Apr 25, 2007
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Anthony M. Dejoseph, PSY.D.NPI 1154440519
Title
President
Phone
(708) 788-8808

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071003731 IL Primary

Addresses

Primary practice location

6201 West Cermak
2ND Floor, Lombard Entrance
Berwyn, IL 60402-5101

Mailing address

6201 West Cermak
2ND Floor - Lombard Entrance
Berwyn, IL 60402-5105
Phone (708) 788-8808

Other names 1

  • Associates in Behavioral Science Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041115001122 IL Part B Supplier - Clinic/Group Practice 5698739126 Receives reassigned benefits from 3 practitioners
Practice locations: Berwyn, IL

National Provider Directory

National Provider Directory

Locations

6738 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2331

3510 W 79th St
Chicago, IL 60652
Phone (773) 978-0703

8311 Roosevelt Rd
#100
Forest Park, IL 60130
Phone (708) 788-8808

3300 Harlem Ave
#2
Riverside, IL 60546
Phone (708) 447-6789

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1245459395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 WEST CERMAK",
            "address_2": "2ND FLOOR - LOMBARD ENTRANCE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025105",
            "telephone_number": "708-788-8808",
            "fax_number": "708-788-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WEST CERMAK",
            "address_2": "2ND FLOOR, LOMBARD ENTRANCE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025101",
            "telephone_number": "708-788-8808",
            "fax_number": "708-788-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN BEHAVIORAL SCIENCE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "DEJOSEPH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Behavioral Science",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associates in Behavioral Science",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.