Organization Active NPI

Neurobehavioral Medicine Consultants LTD

  • Clinical Neuropsychologist
  • Elmhurst, IL
National Provider Identifier
1437219870
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071004014 Issued in IL
Legal business name
NEUROBEHAVIORAL MEDICINE CONSULTANTS LTD
Practice address
180 W Park Ave Ste 260
Elmhurst, IL 60126-3372
Phone
(708) 997-4216
Fax
(844) 273-7876
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Patricia A Pimental, PSYDNPI 1073673406
Title
President
Phone
(708) 643-4059

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
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 071004014 IL Primary

Addresses

Primary practice location

180 W Park Ave Ste 260
Elmhurst, IL 60126-3372

Mailing address

180 W Park Ave Ste 260
Elmhurst, IL 60126-3372
Phone (708) 643-4059

Other identifiers 1

IdentifierTypeStateIssuer
252600OtherILMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000641 IL Part B Supplier - Clinic/Group Practice 3375702160 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1437219870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE STE 260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263372",
            "telephone_number": "708-643-4059",
            "fax_number": "844-273-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE STE 260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263372",
            "telephone_number": "708-997-4216",
            "fax_number": "844-273-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL MEDICINE CONSULTANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PIMENTAL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-643-4059",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071004014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "252600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.