Organization Active NPI

Rush Neurobehavioral Center

  • Adolescent and Children Mental Health Clinic/Center
  • Skokie, IL
National Provider Identifier
1952551756
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
036079515 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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.NPI 1548408586
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.