TMH Behavioral Services P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016416 Issued in IL

Legal business name

TMH BEHAVIORAL SERVICES P.C.

Practice address

710 E 47TH St Ste 203W
Chicago, IL 60653-0120

Phone

(773) 828-4940

NPI assigned

Feb 3, 2016

Last updated

May 6, 2019By 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

Tytannie Harris, LCSWNPI 1144646621

Title

Owner/Therapist

Phone

(773) 803-1979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• TMH Behavioral Services P.C.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1164997284

  O20160223000042

  Same enrollment

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.

• Tytannie Harris, LCSW

  • Clinical Social Worker
  • Mount Prospect, IL
  • NPI 1144646621
  Authorized official Same address or phone
• Gwen Vana, QMHP

  • Professional Counselor
  • Watseka, IL
  • NPI 1669720991
  NPD

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1871951988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMH BEHAVIORAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TYTANNIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "773-803-1979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLKM Plastic Surgery, LLC
• TLN Professional Services PLLC
• TM Nelson: Counseling & Wellness, LLC
• TMC Medical Equipment Inc
• TMH Behavioral Services P.C.
• TMH Wellness Redefined LLC
• TNJ Products Inc. Dba Siona Health Care
• TNJ Products Inc. Dba Siona Health Care
• TNR Consulting LLC
• To Develop Counseling & Therapy LLC (Dondee Gujilde)

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.