Active NPI
Core Behavioral Health, Inc.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1316249576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007541
- Legal business name
- CORE BEHAVIORAL HEALTH, INC.
- Practice address
- 1300 W Belmont Ave
Suite # 504
Chicago, IL 60657-3200 - Phone
- (800) 994-6602
- Fax
- (800) 994-6602
- NPI assigned
- Nov 21, 2010
- 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
- Dr. Rashid A. Raja, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (800) 994-6602
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007541 | IL | Primary |
Addresses
Primary practice location
1300 W Belmont Ave
Suite # 504
Chicago, IL 60657-3200
Mailing address
9217 Montgomery Dr
Orland Park, IL 60462-6506
Phone (800) 994-6602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 W Belmont Ave
Ste 504
Chicago, IL 60657
Phone (800) 994-6602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1386705572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604016000000",
"number": "1316249576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9217 MONTGOMERY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626506",
"telephone_number": "800-994-6602",
"fax_number": "800-994-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE # 504",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "800-994-6602",
"fax_number": "800-994-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-21",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A",
"authorized_official_last_name": "RAJA",
"authorized_official_first_name": "RASHID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "800-994-6602",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.