Organization Active NPI

Suburban Behavioral Health Inc

  • Psychiatry Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1851674378
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036121444 Issued in IL
Legal business name
SUBURBAN BEHAVIORAL HEALTH INC
Practice address
1S443 Summit Ave Ste 201
Oakbrook Terrace, IL 60181-3972
Phone
(331) 643-0559
Fax
(630) 613-9865
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Mazar Golewale, MD
Title
Manager
Phone
(331) 643-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 036121444 IL Primary

Addresses

Primary practice location

1S443 Summit Ave Ste 201
Oakbrook Terrace, IL 60181-3972

Mailing address

1 S 443 Summit Ave
Suite # 201
Oakbrook Terrace, IL 60181-3973
Phone (630) 613-9800

Other practice location 1

1751 S Naperville Rd Ste 207
Wheaton, IL 60189-5896
Phone (630) 613-9800

Other practice location 2

123 W Washington St Ste 336
Oswego, IL 60543-8291
Phone (331) 716-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000463 IL Part B Supplier - Clinic/Group Practice 6305008962 Receives reassigned benefits from 4 practitioners
Practice locations: Oakbrook Terrace, IL; Oswego, IL; Wheaton, IL

National Provider Directory

National Provider Directory

Locations

1S443 Summit Ave
Ste 305
Oakbrook Terrace, IL 60181
Phone (630) 613-9800

1S443 Summit Ave
Ste 201
Oakbrook Terrace, IL 60181
Phone (630) 250-3862

123 W Washington St
Ste 336
Oswego, IL 60543
Phone (331) 716-9220

Practitioners & affiliated clinicians

Practitioners 8

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1851674378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S 443 SUMMIT AVE",
            "address_2": "SUITE # 201",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813973",
            "telephone_number": "630-613-9800",
            "fax_number": "630-613-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE STE 201",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813972",
            "telephone_number": "331-643-0559",
            "fax_number": "630-613-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 S Naperville Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601895896",
            "country_code": "US",
            "telephone_number": "630-613-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 W Washington St Ste 336",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438291",
            "country_code": "US",
            "telephone_number": "331-716-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBURBAN BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "GOLEWALE",
        "authorized_official_first_name": "MAZAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "331-643-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036121444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.