NPIMap

Organization Active NPI

The Anxiety Treatment Center - Western Suburbs, LLC

Doing business as The OCD & Anxiety Center

  • Clinical Psychologist
  • Oak Brook, IL
National Provider Identifier
1821537358
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE ANXIETY TREATMENT CENTER - WESTERN SUBURBS, LLC
Doing business as
The OCD & Anxiety Center
Practice address
1100 Jorie Blvd
227
Oak Brook, IL 60523
Phone
(630) 522-3124
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

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

Authorized official

Name
Benjamin G HarrisNPI 1811122963
Title
Owner, Director
Phone
(630) 522-3124

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1100 Jorie Blvd
227
Oak Brook, IL 60523

Mailing address

1100 Jorie Blvd Ste 132
Oak Brook, IL 60523-4402
Phone (630) 522-3124

Other names 1

  • The OCD & Anxiety Center Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Jorie Blvd
Ste 132
Oak Brook, IL 60523
Phone (630) 522-3124

1100 Jorie Blvd
Ste 227
Oak Brook, IL 60523
Phone (630) 522-3124

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532131200000",
    "number": "1821537358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 132",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234402",
            "telephone_number": "630-522-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD",
            "address_2": "227",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-522-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANXIETY TREATMENT CENTER - WESTERN SUBURBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2018-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "630-522-3124"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The OCD & Anxiety Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; 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.