NPIMap

Organization Active NPI

Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
National Provider Identifier
1386059996
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BHES MEDICAL GROUP, LLC
Practice address
14953 S Van Dyke Rd
Plainfield, IL 60544-5804
Phone
(815) 609-1544
Fax
(815) 609-1670
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BEHAVIORAL HEALTH AND EDUCATION SPECIALISTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Robert Brucker Jr., PSY.D.NPI 1841224748
Title
Manager Representative
Phone
(630) 728-4026

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Psychologist 103TC0700X NU Primary
Neurology Physician 2084N0400X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

14953 S Van Dyke Rd
Plainfield, IL 60544-5804

Mailing address

14953 S Van Dyke Rd
Plainfield, IL 60544-5804
Phone (815) 609-1544

National Provider Directory

National Provider Directory
Part of
Behavioral Health and Education Specialists Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1386059996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHES MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL HEALTH AND EDUCATION SPECIALISTS, INC.",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BRUCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER REPRESENTATIVE",
        "authorized_official_telephone_number": "630-728-4026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 23, 2014; 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.