Fox Valley Behavioral Health, S.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036098990 Issued in IL

Legal business name

FOX VALLEY BEHAVIORAL HEALTH, S.C.

Practice address

902 S Randall Rd
Suite C 187
St Charles, IL 60174-1554

Phone

(630) 356-3621

Fax

(630) 377-3705

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jabeen Hussain, M.D.

Title

President

Phone

(630) 356-3621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1427292994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S RANDALL RD",
            "address_2": "SUITE C 187",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741554",
            "telephone_number": "630-356-3621",
            "fax_number": "630-377-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S RANDALL RD",
            "address_2": "SUITE C 187",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741554",
            "telephone_number": "630-356-3621",
            "fax_number": "630-377-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY BEHAVIORAL HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JABEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-356-3621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036098990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shona Fowler, PT, DPT
• Fox Prairie Medical Group P C
• Fox River and Countryside Fire Rescue District
• Fox Valley Adult and Pediatric Medicine PC
• Fox Valley Autism Services, Inc.
• Fox Valley Ear, Nose and Throat, Assoc., S.C.
• Fox Valley Medical Supply LLC
• Fox Valley Natural Medicine LLC
• Fox Valley Ophthalmology
• Fox Valley Ophthalmology

• Child & Adolescent Psychiatry Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.