NPIMap

Organization Active NPI

Behavior Modification Clinic, LTD.

  • Community/Behavioral Health Agency
  • McHenry, IL
National Provider Identifier
1700052305
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180001146 Issued in IL
Legal business name
BEHAVIOR MODIFICATION CLINIC, LTD.
Practice address
5435 Bull Valley Rd
Suite 106
McHenry, IL 60050-7434
Phone
(815) 385-5903
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Christian Eric Straube, PH.D.NPI 1396871836
Title
Psychologist
Phone
(815) 385-5903

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
Community/Behavioral Health Agency 251S00000X 180001146 IL Primary

Addresses

Primary practice location

5435 Bull Valley Rd
Suite 106
McHenry, IL 60050-7434

Mailing address

5435 Bull Valley Rd
Suite 106
McHenry, IL 60050-7434
Phone (815) 385-5903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1700052305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "address_2": "SUITE 106",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507434",
            "telephone_number": "815-385-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "address_2": "SUITE 106",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507434",
            "telephone_number": "815-385-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR MODIFICATION CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "STRAUBE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-385-5903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180001146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.