NPIMap

Organization Active NPI

The Tabor Therapy Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McHenry, IL
National Provider Identifier
1457841660
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE TABOR THERAPY GROUP, INC.
Practice address
5404 W Elm St Ste H
McHenry, IL 60050-4007
Phone
(815) 331-8768
Fax
(813) 331-8760
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE TABOR THERAPY GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Jennifer Ann Tabor
Title
Owner
Phone
(815) 331-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

5404 W Elm St Ste H
McHenry, IL 60050-4007

Mailing address

5404 W Elm St Ste H
McHenry, IL 60050-4007
Phone (815) 331-8768

Other identifiers 1

IdentifierTypeStateIssuer
2B17-IPI-002MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
The Tabor Therapy Group Inc5 organizations share this tax ID, including this one
Part of
The Tabor Therapy Group Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1457841660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768",
            "fax_number": "813-331-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768",
            "fax_number": "813-331-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TABOR THERAPY GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TABOR THERAPY GROUP, INC.",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-331-8768"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B17-IPI-002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.