Organization Active NPI

West Suburban Behavioral Health, LLC

  • Clinical Psychologist
  • Warrenville, IL
National Provider Identifier
1275072332
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009476 Issued in IL
Legal business name
WEST SUBURBAN BEHAVIORAL HEALTH, LLC
Practice address
4580 Weaver Pkwy
Suite 204
Warrenville, IL 60555-3865
Phone
(630) 473-3970
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Valerie Ann Ball, PSY.D.NPI 1760760714
Title
President
Phone
(773) 726-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071009476 IL Primary

Addresses

Primary practice location

4580 Weaver Pkwy
Suite 204
Warrenville, IL 60555-3865

Mailing address

4580 Weaver Pkwy
Suite 204
Warrenville, IL 60555-3865
Phone (630) 473-3970

National Provider Directory

National Provider Directory

Locations

4580 Weaver Pkwy
Ste 204
Warrenville, IL 60555
Phone (630) 473-3970

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1275072332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY",
            "address_2": "SUITE 204",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553865",
            "telephone_number": "630-473-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY",
            "address_2": "SUITE 204",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553865",
            "telephone_number": "630-473-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-726-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.