NPIMap

Organization Active NPI

Professional Services for Anxiety-Related Disorders, LLC

Doing business as OCD & Anxiety Treatment Specialists

  • Professional Counselor
  • Sycamore, IL
National Provider Identifier
1750765582
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007751 Issued in IL
Legal business name
PROFESSIONAL SERVICES FOR ANXIETY-RELATED DISORDERS, LLC
Doing business as
OCD & Anxiety Treatment Specialists
Practice address
1121 Alexandria Dr
Sycamore, IL 60178-9507
Phone
(815) 991-9053
Fax
(815) 991-9483
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Benjamin Harris, MA, LCPC
Title
President
Phone
(815) 991-9053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007751 IL Primary

Addresses

Primary practice location

1121 Alexandria Dr
Sycamore, IL 60178-9507

Mailing address

PO Box 771
Sycamore, IL 60178-0700
Phone (815) 991-9053

Other names 1

  • OCD & Anxiety Treatment Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1750765582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601780700",
            "telephone_number": "815-991-9053",
            "fax_number": "815-991-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ALEXANDRIA DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601789507",
            "telephone_number": "815-991-9053",
            "fax_number": "815-991-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES FOR ANXIETY-RELATED DISORDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-991-9053",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCD & Anxiety Treatment Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.