Active NPI
Rush Neurobehavioral Center
- Adolescent and Children Mental Health Clinic/Center
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 036079515
- Legal business name
- RUSH NEUROBEHAVIORAL CENTER
- Practice address
- 4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224 - Phone
- (847) 933-9339
- Fax
- (847) 933-0874
- NPI assigned
- Sep 29, 2008
- Last updated
- Sep 29, 2008
- 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. Meryl E Lipton, M.D., PH.D.
- Title
- Pediatric Neurologist / Executive D
- Phone
- (847) 933-9339
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 |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 036079515 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224
Mailing address
4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224
Phone (847) 933-9339
National Provider Directory
National Provider DirectoryLocations
4711 Golf Rd
Ste 1100
Skokie, IL 60076
Phone (847) 763-7930
Practitioners & 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.
-
- Prescribing (Medical) Psychologist
- Skokie, IL
- NPI 1548408586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1952551756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 1100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-933-9339",
"fax_number": "847-933-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 1100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-933-9339",
"fax_number": "847-933-0874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH NEUROBEHAVIORAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "LIPTON",
"authorized_official_first_name": "MERYL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PEDIATRIC NEUROLOGIST / EXECUTIVE D",
"authorized_official_telephone_number": "847-933-9339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "IL",
"license": "036079515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Christine E Rudolph
- William H Rudolph, RPH
- Sarah Ruesch, OTD
- Katharine K Ruhl, M.D.
- Crystal Ruiz
- Rush North Shore Medical Center (Centre for Women's Health)
- Rush North Shore Pain Center
- Rush Pres St. Luke's Med Center (Dermatology Patient Services)
- Rush University Medical Center
- Matthew Russell, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.