Active NPI
Peak Behavioral Health
Doing business as Autism Care Therapy
- Behavior Analyst
- Oak Park, IL
National Provider Identifier
1295436855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PEAK BEHAVIORAL HEALTH
- Doing business as
- Autism Care Therapy
- Practice address
- 1515 N Harlem Ave
Oak Park, IL 60302-1250 - Phone
- (630) 632-4350
- Fax
- (630) 687-8737
- NPI assigned
- Mar 10, 2023
- Last updated
- Mar 10, 2023
- 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
- Mrs. Shaden Kassar, BCBA
- Title
- Ceo
- Phone
- (630) 631-9623
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1515 N Harlem Ave
Oak Park, IL 60302-1250
Mailing address
124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone (630) 631-9623
Other names 1
- Autism Care Therapy
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, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Burr Ridge, IL
- NPI 1548632383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1295436855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 KRAML DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270303",
"telephone_number": "630-631-9623",
"fax_number": "630-687-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N HARLEM AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021250",
"telephone_number": "630-632-4350",
"fax_number": "630-687-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "KASSAR",
"authorized_official_first_name": "SHADEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-631-9623",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autism Care Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.