Organization Active NPI

Behavioral Health, S.C.

  • Psychiatry Physician
  • Skokie, IL
National Provider Identifier
1467461285
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEHAVIORAL HEALTH, S.C.
Practice address
9150 Crawford Ave
Suite 200
Skokie, IL 60076-1700
Phone
(847) 329-1390
Fax
(847) 677-7760
NPI assigned
Aug 8, 2006
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Gennady Kosman
Title
Office Manager
Phone
(847) 329-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

9150 Crawford Ave
Suite 200
Skokie, IL 60076-1700

Mailing address

9150 Crawford Ave
Suite 200
Skokie, IL 60076-1700
Phone (847) 329-1390

National Provider Directory

National Provider Directory

Locations

9150 Crawford Ave
Ste 200
Skokie, IL 60076
Phone (847) 329-1390

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1467461285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE",
            "address_2": "SUITE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "847-329-1390",
            "fax_number": "847-677-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE",
            "address_2": "SUITE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "847-329-1390",
            "fax_number": "847-677-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "KOSMAN",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-329-1390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.