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BEHAVIOR AND MOOD CLINIC
NPI 1003978743
Counselor in Chicago, IL

Active since December 15, 2006
1116 N KEDZIE AVE, SUITE 524, CHICAGO, IL 60651(773) 750-9773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Behavior And Mood Clinic NPPES

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

BEHAVIOR AND MOOD CLINIC (NPI 1003978743) is a healthcare organization registered as a counselor in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Daniel W. Bishop, President, as its authorized official.

NPPES Registry Identity

NPI1003978743
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameBEHAVIOR AND MOOD CLINIC
Location Address1116 N KEDZIE AVE, SUITE 524Chicago, IL 60651-4152
Mailing Address1116 N Kedzie Ave, Suite 524Chicago, IL 60651-4152 · (773) 750-9773
Phone(773) 750-9773
Organization SubpartNo
Authorized OfficialDaniel W. BishopPresident · (773) 750-9773
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003978743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1116 N KEDZIE AVE, Chicago, IL 60651
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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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA GAWOR M.D.
Psychiatry & Neurology (Psychiatry)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009
CRYSTAL VILLEGAS
Counselor (Mental Health)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009
MS. MARY ALICE MECKES LCSW
Social Worker (Clinical)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009
NYDIA IRIS GONZALEZ LCPC
Counselor (Mental Health)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009
AMANDA LYNN SCHEBLEIN MA
Counselor (Mental Health)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009
MRS. ELBA IRIS LARA MSW, CADC
Counselor (Mental Health)
1116 N KEDZIE AVE
CHICAGO, IL 60651
Cook County (773) 772-8009

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 Behavior And Mood Clinic's NPI number?

The NPI number for Behavior And Mood Clinic is 1003978743. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Behavior And Mood Clinic located?

Behavior And Mood Clinic is located at 1116 N Kedzie Ave Suite 524, Chicago, IL 60651. The listed phone number is (773) 750-9773.

What is Behavior And Mood Clinic's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Behavior And Mood Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.