NPIMap

Organization Active NPI

Hinsdale Behavioral Health Clinic

  • Psychiatry Physician
  • Hinsdale, IL
National Provider Identifier
1609180918
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036078928 Issued in IL
Legal business name
HINSDALE BEHAVIORAL HEALTH CLINIC
Practice address
40 S Clay St Ste 229
Hinsdale, IL 60521-3257
Phone
(630) 920-1795
NPI assigned
Jul 28, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Talat D Ghaus, MDNPI 1689623472
Title
President
Phone
(708) 850-0600

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036078928 IL Primary

Addresses

Primary practice location

40 S Clay St Ste 229
Hinsdale, IL 60521-3257

Mailing address

40 S Clay St Ste 229
Hinsdale, IL 60521-3257
Phone (630) 920-1795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101204000097 IL Part B Supplier - Clinic/Group Practice 2163619099 Receives reassigned benefits from 14 practitioners
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

120 E Ogden Ave
Ste 236
Hinsdale, IL 60521
Phone (630) 920-1795

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

40 S Clay St
Ste 229
Hinsdale, IL 60521
Phone (630) 920-1795

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1609180918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST STE 229",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-920-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST STE 229",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-920-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE BEHAVIORAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GHAUS",
        "authorized_official_first_name": "TALAT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-850-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036078928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.