Organization Active NPI

Arbor Behavioral Health LTD

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1942535992
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007624 Issued in IL
Legal business name
ARBOR BEHAVIORAL HEALTH LTD
Practice address
1590 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3793
Phone
(847) 714-4008
Fax
(847) 756-7735
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Elizabeth Ann Chandler, PSY.D.
Title
President
Phone
(847) 714-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007624 IL Primary

Addresses

Primary practice location

1590 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3793

Mailing address

1590 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3793
Phone (847) 714-4008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1942535992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483793",
            "telephone_number": "847-714-4008",
            "fax_number": "847-756-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483793",
            "telephone_number": "847-714-4008",
            "fax_number": "847-756-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR BEHAVIORAL HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-714-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.