Active NPI
Behavioral Health Specialist of CGH, PLLC
- Psychologist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Troy, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychologist | 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
National Provider Directory
National Provider Directory- Part of
- Comprehensive Gastrointestinal Health LLC
Interoperability endpoints
- 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.
-
- Gastroenterology Physician
- Northbrook, IL
- NPI 1427541721
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Northbrook, IL
- NPI 1306825740
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.