Active NPI
Management Services Team Inc.
Doing business as South Suburban Behavioral Center
- Group Psychotherapy Psychologist
- Hazel Crest, IL
National Provider Identifier
1871929042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.