Organization Active NPI

Peak Behavioral Health

Doing business as Autism Care Therapy

  • Behavior Analyst
  • Oak Park, IL
National Provider Identifier
1295436855
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Mrs. Shaden Kassar, BCBANPI 1548632383
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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.