SOUTH HAVEN BEHAVIORAL MODIFICATION II INC
NPI 1386671279
Psychologist - Group Psychotherapy in Chicago, IL

Active since June 27, 2006
448-454 E. 61ST ST, CHICAGO, IL 60637(773) 752-8602(773) 752-5824 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Haven Behavioral Modification Ii Inc NPPES

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

SOUTH HAVEN BEHAVIORAL MODIFICATION II INC (NPI 1386671279) is a healthcare organization registered as a group psychotherapy in Chicago, Illinois and active in the NPI registry since June 2006. The organization lists Dante Pimentel, President, as its authorized official.

NPPES Registry Identity

NPI1386671279
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameSOUTH HAVEN BEHAVIORAL MODIFICATION II INC
Location Address448-454 E. 61ST STChicago, IL 60637
Mailing Address4632 175th PlCountry Club Hills, IL 60478-4531 · (708) 785-6597 · Fax (706) 206-0550
Fax(773) 752-5824
Organization SubpartNo
Authorized OfficialDante PimentelPresident · (773) 752-8602
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1386671279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
448-454 E. 61ST ST, Chicago, IL 60637

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

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 South Haven Behavioral Modification II Inc's NPI number?

The NPI number for South Haven Behavioral Modification II Inc is 1386671279. It was assigned to this organization in the NPPES registry on June 27, 2006.

Where is South Haven Behavioral Modification II Inc located?

South Haven Behavioral Modification II Inc is located at 448-454 E. 61st St, Chicago, IL 60637. The listed phone number is (773) 752-8602.

What is South Haven Behavioral Modification II Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for South Haven Behavioral Modification II Inc 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 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.