Active NPI
Arbor Behavioral Health LTD
- Clinical Psychologist
- Libertyville, IL
National Provider Identifier
1942535992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007624
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryNPI 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.