SKYWAY BEHAVIORAL HEALTH LLC NPI 1679146989

NPI Information

NPI: 1679146989
Provider Name: SKYWAY BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 14D2258203

Address:
4709 GOLF RD FL 7
SKOKIE, IL
ZIP 60076
Phone: (773) 573-6039
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SKYWAY BEHAVIORAL HEALTH LLC is an adult mental health clinic center in Skokie, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SKYWAY BEHAVIORAL HEALTH LLC NPI is 1679146989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4709 GOLF RD FL 7
SKOKIE, IL
ZIP 60076-231
Phone: (773) 573-6039

The provider's authorized official is Terran Salbego .
The authorized official title is Chief Operations Officer and has the following contact phone number (773) 573-6039.

The CLIA number assigned to this NPI record is 14D2258203 - other - outpatient beh health iop with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 4/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101Y00000X	Counselor		No
3	101YP2500X	Counselor	Professional	No
4	103T00000X	Psychologist		No
5	103TC0700X	Psychologist	Clinical	No
6	103TC1900X	Psychologist	Counseling	No
7	103TP2701X	Psychologist	Group Psychotherapy	No
8	104100000X	Social Worker		No
9	1041C0700X	Social Worker	Clinical	No
10	163W00000X	Registered Nurse		No
11	207R00000X	Internal Medicine		No
12	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
13	2084P0800X	Psychiatry & Neurology	Psychiatry	No
14	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	No
15	261QM0850X	Clinic/Center	Adult Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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