Center for Behavioral Medicine LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

072-003557 Issued in IL

Legal business name

CENTER FOR BEHAVIORAL MEDICINE LTD

Practice address

435 N Michigan Ave
Suite 2800
Chicago, IL 60611-4066

Phone

(312) 245-3120

Fax

(312) 245-3124

NPI assigned

Oct 11, 2006

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel S. Kirschenbaum, PH.D.NPI 1295824860

Title

Director

Phone

(312) 245-3120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Daniel S. Kirschenbaum, PH.D.

  • Cognitive & Behavioral Psychologist
  • Newnan, GA
  • NPI 1295824860
  NPD (past) Authorized official
• Susan Shrifter-Fialkow

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1780773267
  NPD (past)
• Terry L Wright, PSY.D.

  • Psychologist
  • Glen Ellyn, IL
  • NPI 1255466488
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1336237437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MICHIGAN AVE",
            "address_2": "SUITE 2800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114066",
            "telephone_number": "312-245-3120",
            "fax_number": "312-245-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MICHIGAN AVE",
            "address_2": "SUITE 2800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114066",
            "telephone_number": "312-245-3120",
            "fax_number": "312-245-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "KIRSCHENBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-245-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "072-003557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "162-0249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.