Andersonville Behavioral Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ANDERSONVILLE BEHAVIORAL HEALTH, LLC

Doing business as

Steven A Migalski

Practice address

1509 W Berwyn Ave Ste 204
Chicago, IL 60640-8058

Phone

(847) 989-2101

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 2021By 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. Alexander J Lalley, PSYDNPI 1538799812

Title

Coordinator of Clinical Operations

Phone

(847) 989-2101

Specialties & licenses 1

Addresses

Other names 1

• Steven A Migalski Doing business as

Locations

Practitioners 1

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.

• Alexander Jacob Lalley, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1538799812
  NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1770174955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408058",
            "telephone_number": "847-989-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408058",
            "telephone_number": "847-989-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSONVILLE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "LALLEY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COORDINATOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "847-989-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven A Migalski",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Anderson
• Trisha Anderson, LCSW
• Tyrone Anderson
• Vadette Anderson
• Vivian Ruth Anderson, RDN, LDN
• Andersonville Counseling Center, LLC
• Andersonville Dental
• Andersonville Physical Therapy, SC
• Andersonville Psychology, PC
• Gunnar B.J. Andersson, MD

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.