Organization Active NPI

Malachite Institute for Behavioral Health, Inc

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1568353654
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MALACHITE INSTITUTE FOR BEHAVIORAL HEALTH, INC
Practice address
609 South Blvd Apt a
Oak Park, IL 60302-2937
Phone
(240) 802-2983
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Layla Kassem, PSYD PHDNPI 1861625246
Title
Clinical Psychologist
Phone
(773) 865-9286

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 Psychologist 103TC0700X Primary

Addresses

Primary practice location

609 South Blvd Apt a
Oak Park, IL 60302-2937

Mailing address

609 South Blvd Apt a
Oak Park, IL 60302-2937
Phone (773) 865-9286

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, 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": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1568353654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SOUTH BLVD APT A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022937",
            "telephone_number": "773-865-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SOUTH BLVD APT A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022937",
            "telephone_number": "240-802-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALACHITE INSTITUTE FOR BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-865-9286",
        "authorized_official_credential": "PSYD PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.