Organization Active NPI

Behavioral Health Specialist of CGH, PLLC

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1760237424
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEHAVIORAL HEALTH SPECIALIST OF CGH, PLLC
Practice address
40 Skokie Blvd Ste 110
Northbrook, IL 60062-1614
Phone
(224) 407-4400
Fax
(224) 407-2255
NPI assigned
Apr 17, 2024
Organization subpart
Yes
Parent organization
COMPREHENSIVE GASTROINTESTINAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Tara Troy, MDNPI 1306825740
Title
Partner
Phone
(224) 407-4400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

40 Skokie Blvd Ste 110
Northbrook, IL 60062-1614

Mailing address

40 Skokie Blvd Ste 110
Northbrook, IL 60062-1614
Phone (224) 407-4400

Other practice location 1

950 Technology Way Ste 250
Libertyville, IL 60048-5366
Phone (224) 407-4400

Other names 1

  • COMPREHENSIVE GASTROINTESTINAL HEALTH Other name

National Provider Directory

National Provider Directory
Part of
Comprehensive Gastrointestinal Health LLC

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGEBD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1760237424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD STE 110",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621614",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD STE 110",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621614",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Technology Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485366",
            "country_code": "US",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SPECIALIST OF CGH, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE GASTROINTESTINAL HEALTH, LLC",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "224-407-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE GASTROINTESTINAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.