Associates in Behavioral Health S C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ASSOCIATES IN BEHAVIORAL HEALTH S C

Practice address

410 Hickory St
Waukegan, IL 60085-3936

Phone

(847) 817-1280

Fax

(847) 336-1601

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janine Mary Goldstein, PH.D.

Title

Ceo

Phone

(847) 817-1280

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lance D Holemon, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1215056296
  NPD (past)
• Peter Kleffner

  • Psychiatry Physician
  • Albany, NY
  • NPI 1376762690
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679786495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HICKORY ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853936",
            "telephone_number": "847-817-1280",
            "fax_number": "847-336-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HICKORY ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853936",
            "telephone_number": "847-817-1280",
            "fax_number": "847-336-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN BEHAVIORAL HEALTH S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-817-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Family Dental, LTD
• Ashley Family Dental, LTD.
• Jon Ashworth
• Carol Asma, RN
• Aspyre of Waukegan LLC
• Eugenia Astudillo Arcos, LSW
• Courtney Marie Atkinson
• Brina N Auguste
• Kathiana Weetdjhea Augustin
• Sakshi Ajay Aul

• Psychiatry Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Psychiatry Physician in Illinois

• 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.