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
- Last updated
- Dec 27, 2012
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Libertyville, IL
- NPI 1972742617
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.