OAK PARK BEHAVIORAL MEDICINE LLC
NPI 1003161225
Psychologist - Clinical in Oak Park, IL

Q: What is Oak Park Behavioral Medicine LLC's NPI number?

The NPI number for Oak Park Behavioral Medicine LLC is 1003161225. It was assigned to this organization in the NPPES registry on July 14, 2012.

Q: What is Oak Park Behavioral Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 14, 2012

818 HARRISON ST, SUITE 210, OAK PARK, IL 60304(312) 725-6175 Get Directions Write a Review

NPPES record last updated: July 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Oak Park Behavioral Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK PARK BEHAVIORAL MEDICINE LLC (NPI 1003161225) is a healthcare organization registered as a clinical in Oak Park, Illinois and active in the NPI registry since July 2012. The organization lists Tiffany Taft, Owner, as its authorized official.

NPPES Registry Identity

NPI1003161225

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameOAK PARK BEHAVIORAL MEDICINE LLC

Location Address818 HARRISON ST, SUITE 210Oak Park, IL 60304-1144

Mailing Address824 S Grove AveOak Park, IL 60304-1125 · (312) 725-6175

Phone(312) 725-6175

Organization SubpartNo

Authorized OfficialTiffany TaftOwner · (312) 725-6175

Enumeration DateJuly 14, 2012

✔ NPI 1003161225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071008285

Definition

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.

818 HARRISON ST, Oak Park, IL 60304

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oak Park Behavioral Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oak Park Behavioral Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Taft, PSYD

Clinical Psychologist

NPI 1467714691

818 HARRISON ST 210
Oak Park, IL 60304

(312) 725-6175

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Park Behavioral Medicine LLC's NPI number?

The NPI number for Oak Park Behavioral Medicine LLC is 1003161225. It was assigned to this organization in the NPPES registry on July 14, 2012.

Where is Oak Park Behavioral Medicine LLC located?

Oak Park Behavioral Medicine LLC is located at 818 Harrison St Suite 210, Oak Park, IL 60304. The listed phone number is (312) 725-6175.

What is Oak Park Behavioral Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Oak Park Behavioral Medicine LLC enrolled in Medicare?

Yes. Oak Park Behavioral Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oak Park Behavioral Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Oak Park Behavioral Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oak Park Behavioral Medicine LLC was last updated on July 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.