NPIMap

Organization Active NPI

Prizm Behavioral Services, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
National Provider Identifier
1306007778
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
036114959 Issued in IL
Legal business name
PRIZM BEHAVIORAL SERVICES, PC
Practice address
230 Martin Ave
Naperville, IL 60540-6536
Phone
(630) 848-1200
Fax
(630) 848-1208
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Ms. Asmat Z Jafry, MDNPI 1881704062
Title
Psychiatrist
Phone
(630) 848-1200

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036114959 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 036114959 IL Primary
Adult Mental Health Clinic/Center 261QM0850X 036114959 IL
Adolescent and Children Mental Health Clinic/Center 261QM0855X 036114959 IL
Medical Specialty Clinic/Center 261QM2500X 036114959 IL
Preferred Provider Organization 305R00000X 036114959 IL

Addresses

Primary practice location

230 Martin Ave
Naperville, IL 60540-6536

Mailing address

PO Box 2800
Naperville, IL 60567-2800
Phone (630) 848-1200

Other practice location 1

1112 S Washington St
Suite 202
Naperville, IL 60540-7959
Phone (630) 848-1200

Other identifiers 1

IdentifierTypeStateIssuer
036114959MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000397 IL Part B Supplier - Clinic/Group Practice 8729147806 Receives reassigned benefits from 5 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1112 S Washington St
Ste 202
Naperville, IL 60540
Phone (630) 442-1098

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1306007778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2800",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605672800",
            "telephone_number": "630-848-1200",
            "fax_number": "630-848-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MARTIN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406536",
            "telephone_number": "630-848-1200",
            "fax_number": "630-848-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 S Washington St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605407959",
            "country_code": "US",
            "telephone_number": "630-848-1200",
            "fax_number": "630-848-1208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIZM BEHAVIORAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "JAFRY",
        "authorized_official_first_name": "ASMAT",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "630-848-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036114959",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "036114959",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036114959",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "036114959",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036114959",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "036114959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114959",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.