Organization Active NPI

Illinois Behavioral Health, LTD.

  • Adult Mental Health Clinic/Center
  • Oak Brook, IL
National Provider Identifier
1346547965
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
071007877 Issued in IL
Legal business name
ILLINOIS BEHAVIORAL HEALTH, LTD.
Practice address
1010 Jorie Blvd
Oak Brook, IL 60523-2215
Phone
(630) 506-3906
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Eleni H. Malamis, PSY.D.NPI 1457657686
Title
Licensed Clinical Psychologist
Phone
(630) 506-3906

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
Adult Mental Health Clinic/Center 261QM0850X 071007877 IL Primary

Addresses

Primary practice location

1010 Jorie Blvd
Oak Brook, IL 60523-2215

Mailing address

PO Box 143
Westmont, IL 60559-0143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1346547965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-506-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS BEHAVIORAL HEALTH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "MALAMIS",
        "authorized_official_first_name": "ELENI",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-506-3906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.