Behavioral Education and Treatment, Inc.

Key facts

NPI: 1275930521
Entity type: Organization (NPI type 2)
Primary specialty: Community/Behavioral Health Agency 251S00000X
License: A-2151-0003-A (IL)
Legal business name: BEHAVIORAL EDUCATION AND TREATMENT, INC.
Practice address: 721 W Lake St
Suite 100
Addison, IL 60101-2035
Phone: (630) 620-9440
Fax: (630) 620-9540
NPI assigned: Dec 2, 2014
Organization subpart: No

Authorized official

Name: Mark Nowak
Title: Facility Director
Phone: (630) 620-9440

Practitioners 2

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

Margaret Kwiatkowski Professional Counselor · Addison, IL · NPI 1962870543

NPD (past)
Brittney Ann Segoviano, LCPC Professional Counselor · South Elgin, IL · NPI 1952830200

NPD (past)

National Provider Directory

Locations

721 W Lake St
Addison, IL 60101
Phone (312) 526-2411

721 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 620-9440

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Behavioral Health Agency	251S00000X	A-2151-0003-A	IL	Yes

Addresses

Primary practice location

721 W Lake St
Suite 100
Addison, IL 60101-2035

Mailing address

721 W Lake St
Suite 100
Addison, IL 60101-2035
Phone (630) 620-9440

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 30, 2016.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1275930521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-620-9440",
            "fax_number": "630-620-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-620-9440",
            "fax_number": "630-620-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL EDUCATION AND TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "630-620-9440"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-2151-0003-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

All providers in Addison, IL · Community/Behavioral Health Agency in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.