Silver Oaks Behavioral, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SILVER OAKS BEHAVIORAL, LLC

Doing business as

SILVER OAKS BEHAVIORAL HOSPITAL

Practice address

1004 Pawlak Pkwy
New Lenox, IL 60451-9401

Phone

(815) 215-3300

Fax

(815) 215-3400

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Richard A Kresch, M.D.

Title

Manager

Phone

(212) 243-5565

Specialties & licenses 1

Addresses

Other names 1

• SILVER OAKS BEHAVIORAL HOSPITAL Doing business as

Tax ID family

Silver Oaks Behavioral LLC2 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.

• Silver Oaks Behavioral, LLC

  • Psychiatric Hospital
  • New Lenox, IL
  • NPI 1376020479
  NPD tax ID

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1649741836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PAWLAK PARKWAY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-215-3300",
            "fax_number": "815-215-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PAWLAK PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519401",
            "telephone_number": "815-215-3300",
            "fax_number": "815-215-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER OAKS BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER OAKS BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SILVER OAKS BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Silver Lining Surgeons, S.C.
• Silver Oaks Behavioral, LLC
• Silver Pharmacy, Inc.
• Silver Pharmacy, Inc.
• Marchelle D Simmons, D. C.
• Dawn Simms, CRNA
• Erik Johnson Simon, MD

• Psychiatry Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.