NPIMap

Organization Active NPI

Agor Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Plainfield, IL
National Provider Identifier
1346445871
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGOR BEHAVIORAL HEALTH SERVICES, INC.
Practice address
24402 W Lockport Rd
Unit 2B
Plainfield, IL 60544-4206
Phone
(630) 621-5824
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. William David Agor, PSYD, LCPCNPI 1104832427
Title
Owner
Phone
(630) 621-5824

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

24402 W Lockport Rd
Unit 2B
Plainfield, IL 60544-4206

Mailing address

24402 W Lockport Rd
Unit 2B
Plainfield, IL 60544-4206
Phone (630) 621-5824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111112000047 IL Part B Supplier - Clinic/Group Practice 9133393937 Receives reassigned benefits from 12 practitioners
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

24402 W Lockport St
Ste 215
Plainfield, IL 60544
Phone (630) 621-5824

24402 W Lockport St
Ste 204
Plainfield, IL 60544
Phone (630) 621-5824

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1346445871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT RD",
            "address_2": "UNIT 2B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444206",
            "telephone_number": "630-621-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT RD",
            "address_2": "UNIT 2B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444206",
            "telephone_number": "630-621-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOR BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "AGOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-621-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.