Organization provider

COLLABORATIVE BEHAVIORAL HEALTH LLC

Clinical Psychologist Physician Assistant Medicare enrolled

COLLABORATIVE BEHAVIORAL HEALTH LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194190520, based in Skokie, IL. The organization lists 2 taxonomy classifications, with Clinical Psychologist recorded as primary.

Getting there

The practice address on file is 4711 GOLF RD SUITE 1200, Skokie, IL 60076. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4711 GOLF RD SUITE 1200, Skokie, IL 60076 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
071.008824 IL Clinical Psychologist primary
085001699 IL Physician Assistant

This provider holds licence 071.008824 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9739442369
Enrollment ID
O20200806001087

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 071.008824 IL primary
363A00000X Physician Assistant 085001699 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1194190520 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 10, 2015
Last updatedMay 5, 2020
StatusActive
Practice address 4711 GOLF RD
SUITE 1200
Skokie, IL 60076
(847) 922-3253
Fax (847) 679-8002
Mailing address 4711 GOLF RD STE 1200
Skokie, IL 60076
The last update on file is May 5, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194190520 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 1 9 0 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 2 9 0 5 4

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194190520?
NPI 1194190520 is the National Provider Identifier assigned to COLLABORATIVE BEHAVIORAL HEALTH LLC in Skokie, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact COLLABORATIVE BEHAVIORAL HEALTH LLC?
The phone number on file with NPPES is (847) 922-3253, last updated May 5, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does COLLABORATIVE BEHAVIORAL HEALTH LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194190520 a valid number?
Yes. 1194190520 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.