ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL (NPI# 1801318928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801318928 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL |
| Other Organization Name | ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL OUTPATIENT GROUP PRACTICE |
| Practice Address |
1786 Moon Lake Blvd Ste 104 Hoffman Estates IL 60169-1016 |
| Practice Telephone | (847) 755-8090 |
| Practice Fax Number | 8478437393 |
| Mailing Telephone | 8477558090 |
| Mailing Fax Number | 8478437393 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | CLAYTON CIHA (CEO) |
| Authorized Official Telephone | 8477558001 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0813X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Geropsychiatric |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Alexian Brothers Behavioral Health Hospital Outpatient Group Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013017839 | Alexian Brothers Behavioral Health Hospital | Psychiatric Hospital | 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 |
| Street Address |
1786 MOON LAKE BLVD STE 104 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1801376744 | Morgan Leigh Probst | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2018-08-20 |
| 1386162238 | Susy Wanjiro Ojwang | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2017-08-30 |
| 1720446982 | Carlana F Schoonover | Counselor | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2016-02-03 |
| 1770972028 | Scott Paul Burgess | Social Worker | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2015-01-09 |
| 1326441072 | Mustansar Raza | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| 1881949295 | Jonathan George Perle | Counselor | 2300 N. Barrington Rd, Suite 440, Hoffman Estates, IL 60169 | 2012-07-23 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1376578039 | Kwan Bo Jin | Psychiatry & Neurology | 1650 Moon Lake Blvd, Att: Dr Jin, Hoffman Estates, IL 60194-1010 | 2006-07-11 |
| 1194324053 | Irina Salabai | Psychiatry & Neurology | 2500 W Higgins Rd Ste 210, Hoffman Estates, IL 60169-7234 | 2020-10-21 |
| 1326441072 | Mustansar Raza | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2014-10-08 |
| 1437414695 | Syed Babar Hussain | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2012-07-12 |
| 1477817062 | Constantin Abuzatoaie | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2012-06-27 |
| 1275829095 | Laura Colbert | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2011-06-20 |
| 1598055907 | Parvathy Nair | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2011-04-19 |
| 1730317967 | John C Coates | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2009-06-25 |
| 1568614329 | Xiaohong Yu | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2008-10-10 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
Please comment or provide details below to improve the information on ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.