Northwest Behavioral Health Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006787 Issued in IL

Legal business name

NORTHWEST BEHAVIORAL HEALTH SERVICES, PC

Practice address

415 W Golf Rd Ste 16
Arlington Heights, IL 60005-3923

Phone

(847) 577-0904

Fax

(847) 577-1558

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher D Watson, PSY.D.NPI 1881624484

Title

President

Phone

(847) 577-0904

Specialties & licenses 1

Addresses

Other names 1

• Christopher D. Watson, Psy.D. and Associates, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 9

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

• Christopher Watson, PSYD, ABPP

  • Clinical Child & Adolescent Psychologist
  • Arlington Heights, IL
  • NPI 1881624484
  Medicare reassignment Care Compare group Authorized official
• Peter A Dodzik, PSY.D.

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1437156999
  Medicare reassignment Care Compare group NPD
• Eileen Marie Mackenzie, LCSW

  • Clinical Social Worker
  • Mount Prospect, IL
  • NPI 1164173472

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Dalia S Manjarres Cohen, PSYD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1588263685
  Medicare reassignment Care Compare group NPD
• Anthony Mule, MA

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1689027773
  Medicare reassignment Care Compare group NPD
• Whitney Freeman Tschan, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1336422542
  Medicare reassignment Care Compare group NPD
• Dana McKennon, PSY.D.

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1811183452
  NPD (past)
• Stacey Burrack Watson, LCPC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1972629434
  NPD (past)
• Nicolejoanne Wood, MA

  • Mental Health Counselor
  • Arlington Heights, IL
  • NPI 1154619195
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1770609315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 16",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-577-0904",
            "fax_number": "847-577-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 16",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-577-0904",
            "fax_number": "847-577-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-577-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher D. Watson, Psy.D. and Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Christopher D. Watson, Psy.D. and Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.