NPIMap

Organization Active NPI

The Behavioral Health Cooperative, LLC

Doing business as Primary Care Psychology Associates

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1497428817
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE BEHAVIORAL HEALTH COOPERATIVE, LLC
Doing business as
Primary Care Psychology Associates
Practice address
160 E Grand Ave Ste 500
Chicago, IL 60611-3800
Phone
(847) 686-0090
NPI assigned
Jul 30, 2021
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Dr. Meryl Pankhurst, PSYDNPI 1407288079
Title
Dr/Co-Owner
Phone
(847) 686-0090

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

160 E Grand Ave Ste 500
Chicago, IL 60611-3800

Mailing address

160 E Grand Ave Ste 500
Chicago, IL 60611-3800
Phone (847) 686-0090

Other names 1

  • Primary Care Psychology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000801 IL Part B Supplier - Clinic/Group Practice 1355732777 Receives reassigned benefits from 11 practitioners
Practice locations: Highland Park, IL; Winnetka, IL; Wheaton, IL; Vernon Hills, IL; Northbrook, IL; Gurnee, IL; Grayslake, IL; Chicago, IL…

National Provider Directory

National Provider Directory

Locations

160 E Grand Ave
Ste 500
Chicago, IL 60611

5212 N Clark St
Chicago, IL 60640
Phone (773) 500-0246

572B Lincoln Ave
Winnetka, IL 60093
Phone (847) 501-4040

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1497428817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113800",
            "telephone_number": "847-686-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113800",
            "telephone_number": "847-686-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL HEALTH COOPERATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "PANKHURST",
        "authorized_official_first_name": "MERYL",
        "authorized_official_title_or_position": "DR/CO-OWNER",
        "authorized_official_telephone_number": "847-686-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Psychology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.