COLLABORATIVE BEHAVIORAL HEALTH LLC
NPI 1194190520
Psychologist - Clinical in Skokie, IL

Q: What is Collaborative Behavioral Health LLC's NPI number?

The NPI number for Collaborative Behavioral Health LLC is 1194190520. It was assigned to this organization in the NPPES registry on December 10, 2015.

Q: What is Collaborative Behavioral Health LLC's specialty?

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

Active since December 10, 2015

4711 GOLF RD, SUITE 1200, SKOKIE, IL 60076(847) 922-3253(847) 679-8002 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2020, Dec 10, 2015 (2 updates tracked since 2015).

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About Collaborative Behavioral Health Llc NPPES

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

COLLABORATIVE BEHAVIORAL HEALTH LLC (NPI 1194190520) is a healthcare organization registered as a clinical in Skokie, Illinois and active in the NPI registry since December 2015. The organization lists Michael Edward Topel, Manager, as its authorized official.

NPPES Registry Identity

NPI1194190520

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCOLLABORATIVE BEHAVIORAL HEALTH LLC

Location Address4711 GOLF RD, SUITE 1200Skokie, IL 60076-1224

Mailing Address4711 Golf Rd Ste 1200Skokie, IL 60076-1200 · (847) 922-3253 · Fax (847) 679-8002

Phone(847) 922-3253

Fax(847) 679-8002

Organization SubpartNo

Authorized OfficialMichael Edward TopelManager · (847) 922-3253

Enumeration DateDecember 10, 2015

Last NPPES UpdateMay 5, 20202 updates tracked since enumeration

NPPES CertifiedMay 5, 2020

✔ NPI 1194190520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.008824

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.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085001699 (IL)

4711 GOLF RD, Skokie, IL 60076

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Collaborative Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Collaborative Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mollyrose Kelly, MA, LCPC

Mental Health Counselor

NPI 1386126449

4711 GOLF RD STE 1200
Skokie, IL 60076

(847) 563-0440

✔ PECOS✔ Accepts MedicareSame address

Michael Topel, PSYD

Clinical Psychologist

NPI 1861704207

4711 GOLF RD STE 1200
Skokie, IL 60076

(847) 922-3253

✔ 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 Collaborative Behavioral Health LLC's NPI number?

The NPI number for Collaborative Behavioral Health LLC is 1194190520. It was assigned to this organization in the NPPES registry on December 10, 2015.

Where is Collaborative Behavioral Health LLC located?

Collaborative Behavioral Health LLC is located at 4711 Golf Rd Suite 1200, Skokie, IL 60076. The listed phone number is (847) 922-3253.

What is Collaborative Behavioral Health LLC's specialty?

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

Is Collaborative Behavioral Health LLC enrolled in Medicare?

Yes. Collaborative Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Collaborative Behavioral Health LLC, in Clinical Psychologist and Mental Health Counselor. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collaborative Behavioral Health LLC was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.