Organization Active NPI

Behavioral Medicine and Consulting PC

  • Psychiatry Physician
  • Winfield, IL
National Provider Identifier
1376683375
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036102609 Issued in IL
Legal business name
BEHAVIORAL MEDICINE AND CONSULTING PC
Practice address
27W350 High Lake Rd
Winfield, IL 60190-1262
Phone
(630) 933-4607
Fax
(630) 933-1933
NPI assigned
Feb 7, 2007
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Dr. Saima Sabah, MDNPI 1013901701
Title
Owner
Phone
(630) 933-4607

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036102609 IL Primary

Addresses

Primary practice location

27W350 High Lake Rd
Winfield, IL 60190-1262

Mailing address

27W350 High Lake Rd
Winfield, IL 60190-1262
Phone (630) 933-4607

Other identifiers 2

IdentifierTypeStateIssuer
02232739OtherILBLUE CROSS GROUP NUMBER
036102609MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000856 IL Part B Supplier - Clinic/Group Practice 2668409921 Receives reassigned benefits from 3 practitioners
Practice locations: Downers Grove, IL; Wheaton, IL; Winfield, IL

National Provider Directory

National Provider Directory

Locations

3815 Highland Ave
#207
Downers Grove, IL 60515
Phone (630) 275-5900

1737 S Naperville Rd
Ste 101
Wheaton, IL 60189
Phone (630) 480-4660

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1376683375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-4607",
            "fax_number": "630-933-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-4607",
            "fax_number": "630-933-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE AND CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "SABAH",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-933-4607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036102609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "02232739",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102609",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.