| Behavorial Health Associates Ltd | |
|
8 S Michigan Ave Ste 1203 Chicago IL 60603-3357 | |
| (773) 710-3493 | |
| (312) 781-9594 |
| Full Name | Behavorial Health Associates Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 8 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Neil R. Bockian (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7737103493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavorial Health Associates Ltd Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Behavorial Health Associates Ltd 8 S Michigan Ave Ste 1203 Chicago IL 60603-3357 Ph: (773) 710-3493 |
| NPI Number | 1215153853 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 4486742673 |
|---|---|
| Medicare Enrollment ID | O20071126000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215153853 | NPI | - | NPPES |
| 14-1854431 | Other | IL | FEDERAL TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 071-005194 (Illinois) | Primary |
| Provider Name | Neil Robert Bockian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407045362 PECOS PAC ID: 6406944693 Enrollment ID: I20071126000155 |
| Provider Name | Mirel Castle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740455021 PECOS PAC ID: 2860790193 Enrollment ID: I20160419002612 |
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