Active NPI
Oak Tree Clinical Services, P.C.
- Community/Behavioral Health Agency
- Bloomingdale, IL
National Provider Identifier
1598905713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 180005451
- Legal business name
- OAK TREE CLINICAL SERVICES, P.C.
- Practice address
- 129 Fairfield Way
Suite 208C
Bloomingdale, IL 60108-1560 - Phone
- (630) 258-7866
- NPI assigned
- Feb 27, 2009
- Last updated
- Sep 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lang, M.A., LCPC
- Title
- President
- Phone
- (630) 258-7866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 180005451 | IL | Primary |
Addresses
Primary practice location
129 Fairfield Way
Suite 208C
Bloomingdale, IL 60108-1560
Mailing address
331 White Hall Ter
Bloomingdale, IL 60108-1384
Phone (630) 258-7866
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Bloomingdale, IL
- NPI 1942580626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410048000000",
"number": "1598905713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 WHITE HALL TER",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081384",
"telephone_number": "630-258-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 FAIRFIELD WAY",
"address_2": "SUITE 208C",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081560",
"telephone_number": "630-258-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK TREE CLINICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-27",
"last_updated": "2014-09-07",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-258-7866",
"authorized_official_credential": "M.A., LCPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "180005451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Yamileth Martinez Obando, LCSW
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- Occuspecialist, P.C.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.