Organization Active NPI

Lake-Cook Psychologist and Counseling

Doing business as Lake-Cook Behavioral Health Resources

  • Counseling Psychologist
  • Arlington Heights, IL
National Provider Identifier
1588745194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
LAKE-COOK PSYCHOLOGIST AND COUNSELING
Doing business as
Lake-Cook Behavioral Health Resources
Practice address
3285 N Arlington Heights Rd
Suite 201
Arlington Heights, IL 60004-1564
Phone
(847) 577-1501
Fax
(847) 577-3858
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan J Mayfield, PH.D.
Title
Director
Phone
(847) 577-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

3285 N Arlington Heights Rd
Suite 201
Arlington Heights, IL 60004-1564

Mailing address

3285 N Arlington Heights Rd
Suite 201
Arlington Heights, IL 60004-1564
Phone (847) 577-1501

Other names 1

  • Lake-Cook Behavioral Health Resources Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake-Cook Psychologists and Counseling Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588745194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041564",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041564",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE-COOK PSYCHOLOGIST AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-577-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake-Cook Behavioral Health Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.