Active NPI
Instructional ABA Consultants Waiver Services
- Adolescent and Children Mental Health Clinic/Center
- Oak Lawn, IL
National Provider Identifier
1326707365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- INSTRUCTIONAL ABA CONSULTANTS WAIVER SERVICES
- Practice address
- 4615 W 103Rd St
Oak Lawn, IL 60453-4718 - Phone
- (331) 229-8839
- Fax
- (331) 256-1900
- NPI assigned
- Dec 16, 2021
- Last updated
- Dec 16, 2021
- 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
- Jessica K Topalov, BCBA
- Title
- Ceo
- Phone
- (630) 601-3151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
4615 W 103Rd St
Oak Lawn, IL 60453-4718
Mailing address
4615 W 103Rd St
Oak Lawn, IL 60453-4718
Phone (331) 229-8839
National Provider Directory
National Provider Directory- Tax ID family
- Instructional ABA Consultants Waiver Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Glenview, IL
- NPI 1134888175
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1275906786
-
- Adolescent and Children Mental Health Clinic/Center
- Naperville, IL
- NPI 1871252817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1326707365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534718",
"telephone_number": "331-229-8839",
"fax_number": "331-256-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534718",
"telephone_number": "331-229-8839",
"fax_number": "331-256-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTRUCTIONAL ABA CONSULTANTS WAIVER SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "TOPALOV",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-601-3151",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
- George Inchavelithara, PHARMD
- Infiniteworks Illinois, Inc
- Injury Medical Group LLC
- Inner Balance Mental Wellness LLC
- Inspira Behavioral Health, PLLC
- Integrity Home Healthcare, Inc.
- Intentional Healing Psychiatric Center PLLC
- Internal Medicine Pulmonary Diseases LTD
- Internal Medicine, S.C.
- International Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.