Rush Ambulatory Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RUSH AMBULATORY BEHAVIORAL HEALTH

Practice address

2150 W. Harrison St.
Chicago, IL 60612-3706

Phone

(312) 942-7320

NPI assigned

Sep 13, 2007

Organization subpart

Yes

Parent organization

RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Arthur H Roggow

Title

Authorized Official

Phone

(312) 942-7801

Specialties & licenses 7

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

University Anesthesiologists SC

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis James Kraus, M.D.

  • Child & Adolescent Psychiatry Physician
  • Northbrook, IL
  • NPI 1477670461
  NPD (past)
• Donna Lettieri-Marks, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1346233665
  NPD (past)
• Barbara M Lopate, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1609074566
  NPD (past)
• Hollie M Sobel, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1790983666
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1437344207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W. HARRISON ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123706",
            "telephone_number": "312-942-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W. HARRISON ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123706",
            "telephone_number": "312-942-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH AMBULATORY BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ROGGOW",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-7801"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Ruschhaupt, MD
• Nicole Ruschmeyer, M.A., CCC-SLP
• Colleen Helen Rusciolelli, MD
• Rush
• Rush Adolescent Family Center
• Rush Center for Congenital & Structural Heart Disease
• Rush Health
• Rush Health and Aging
• Rush Lab LLC
• Rush Medical Center

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.