S S Behavioral Health Inc

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

036-131386 Issued in IL

Legal business name

S S BEHAVIORAL HEALTH INC

Practice address

477 E Butterfield Rd Ste 102
Lombard, IL 60148-4880

Phone

(630) 528-3835

Fax

(630) 528-3837

NPI assigned

Aug 23, 2017

Last updated

May 31, 2023By 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

Mohammed S Siddiqui, MDNPI 1639456122

Title

President

Phone

(630) 290-2246

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Mohammed S. Siddiqui, MD

  • Geriatric Psychiatry Physician
  • Lombard, IL
  • NPI 1639456122
  Medicare reassignment NPD Authorized official
• Tekekee Desha Buckner, FNP

  • Nurse Practitioner
  • Tinley Park, IL
  • NPI 1538442918
  Medicare reassignment NPD

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1801313721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S ARDMORE AVE UNIT 7020",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815871",
            "telephone_number": "630-317-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 102",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484880",
            "telephone_number": "630-528-3835",
            "fax_number": "630-528-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 Sisters Ave",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605644397",
            "country_code": "US",
            "telephone_number": "630-290-2246",
            "fax_number": "630-528-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S S BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-290-2246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-131386",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IL",
            "license": "036-131386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniyah Jordyn Rushing
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• RX Solutions Inc
• Shannon Louise Ryan, PA-C
• Jacqueline Emma Ryer, MS
• Odalis Saavedra
• Huda Saber, PA-C
• Azam Saeed, DMD
• Fatima Nasreen Saeed, D.M.D.
• Mariam Saeed, DDS

• Geriatric Psychiatry Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Geriatric Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.