Inspire Behavioral Health Centers, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INSPIRE BEHAVIORAL HEALTH CENTERS, LLC

Practice address

1609 Sherman Ave
#205
Evanston, IL 60201-3753

Phone

(312) 540-9955

Fax

(312) 540-0944

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Nevila McDougal

Title

Cfo

Phone

(847) 274-1222

Specialties & licenses 1

Addresses

Tax ID family

Comprehensive Obesity Recovery Effort Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Core Centers, LLC

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
  • NPI 1235460189
  NPD tax ID

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1376842625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "#1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-540-9955",
            "fax_number": "312-540-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE",
            "address_2": "#205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "312-540-9955",
            "fax_number": "312-540-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE BEHAVIORAL HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "NEVILA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-274-1222"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.