Organization Active NPI

Autism Home Support Services, Inc

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1770818841
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM HOME SUPPORT SERVICES, INC
Practice address
85 Revere Dr Ste Aa
Northbrook, IL 60062-8001
Phone
(844) 247-7222
Fax
(847) 584-2604
NPI assigned
Oct 7, 2009
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Julie Bush
Title
Credentialing Manager
Phone
(847) 584-2604

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

85 Revere Dr Ste Aa
Northbrook, IL 60062-8001

Mailing address

PO Box 639561
Cincinnati, OH 45263-9561
Phone (844) 247-7222

Other practice location 1

3130 Chatham Rd Ste A
Springfield, IL 62704-5379
Phone (844) 247-7222

Other practice location 2

1035 E Woodfield Rd
Schaumburg, IL 60173-4706
Phone (844) 247-7222

Other practice location 3

2323 Naperville Rd Ste 265
Naperville, IL 60563-3486
Phone (844) 247-7222

Other practice location 4

8008 E Arapahoe Ct
Centennial, CO 80112-6839
Phone (844) 247-7222

Other practice location 5

3385 N Arlington Heights Rd Ste K
Arlington Heights, IL 60004-7702
Phone (844) 247-7222

Other practice location 6

2762 N Lincoln Ave
Chicago, IL 60614-2425
Phone (844) 247-7222

Other practice location 7

7177 Crimson Ridge Dr
Rockford, IL 61107-6235
Phone (844) 247-7222

Other practice location 8

43334 7 Mile Rd Ste 200
Northville, MI 48167-2249
Phone (844) 247-7222

National Provider Directory

National Provider Directory

Locations

8008 E Arapahoe Ct
Centennial, CO 80112
Phone (847) 247-7222

3385 N Arlington Heights Rd
Ste K
Arlington Heights, IL 60004
Phone (844) 424-7722

5 Revere Dr
Ste 120
Northbrook, IL 60062
Phone (847) 807-3717

85 Revere Dr
Ste Aa
Northbrook, IL 60062
Phone (847) 564-0822

1035 E Woodfield Rd
Schaumburg, IL 60173

43334 7 Mile Rd
Ste 200
Northville, MI 48167
Phone (844) 264-1613

Practitioners & affiliated clinicians

Practitioners 169

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.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1770818841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639561",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639561",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 REVERE DR STE AA",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628001",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Chatham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627045379",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 E Woodfield Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734706",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 Naperville Rd Ste 265",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633486",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8008 E Arapahoe Ct",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801126839",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3385 N Arlington Heights Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600047702",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2762 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142425",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7177 Crimson Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611076235",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43334 7 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481672249",
            "country_code": "US",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM HOME SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "847-584-2604"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2022; 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.