Organization Active NPI

Beyond Therapy PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1942968359
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEYOND THERAPY PLLC
Practice address
1131 McHenry Rd Ste 107a
Buffalo Grove, IL 60089-1369
Phone
(847) 807-8777
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Michelle Magida, LCPC, LBS1NPI 1407289887
Title
Owner
Phone
(224) 558-2722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1131 McHenry Rd Ste 107a
Buffalo Grove, IL 60089-1369

Mailing address

1131 McHenry Rd Ste 107a
Buffalo Grove, IL 60089-1369
Phone (847) 807-8777

National Provider Directory

National Provider Directory

Locations

1131 McHenry Rd
Ste 107A
Buffalo Grove, IL 60089
Phone (847) 305-1097

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1942968359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MCHENRY RD STE 107A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "847-807-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MCHENRY RD STE 107A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "847-807-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MAGIDA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-558-2722",
        "authorized_official_credential": "LCPC, LBS1"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.