Organization Active NPI

Management Services Team Inc.

Doing business as South Suburban Behavioral Center

  • Group Psychotherapy Psychologist
  • Hazel Crest, IL
National Provider Identifier
1871929042
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
MANAGEMENT SERVICES TEAM INC.
Doing business as
South Suburban Behavioral Center
Practice address
18225 Fountainbleau Dr
Hazel Crest, IL 60429-2231
Phone
(708) 957-2290
Fax
(708) 957-2293
NPI assigned
Sep 19, 2013
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mr. Nasir Alikahn
Title
Cfo
Phone
(708) 957-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

18225 Fountainbleau Dr
Hazel Crest, IL 60429-2231

Mailing address

18225 Fountainbleau Dr
Hazel Crest, IL 60429-2231
Phone (708) 957-2290

Other names 1

  • South Suburban Behavioral Center Doing business as

National Provider Directory

National Provider Directory

Locations

18225 Fountainbleau Dr
Hazel Crest, IL 60429
Phone (708) 957-2290

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1871929042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 FOUNTAINBLEAU DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292231",
            "telephone_number": "708-957-2290",
            "fax_number": "708-957-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 FOUNTAINBLEAU DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292231",
            "telephone_number": "708-957-2290",
            "fax_number": "708-957-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT SERVICES TEAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ALIKAHN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-957-2290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Suburban Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.