Provider Demographics
NPI:1164932513
Name:BEHAVIORAL HEALTH CARE ASSOCIATES LTD
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CARE ASSOCIATES LTD
Other - Org Name:BEHAVIORAL MEDICINE HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SENEVIRATNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-895-4540
Mailing Address - Street 1:1375 E SCHAUMBURG RD STE 230
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3658
Mailing Address - Country:US
Mailing Address - Phone:847-895-4540
Mailing Address - Fax:847-895-4544
Practice Address - Street 1:1375 E SCHAUMBURG RD
Practice Address - Street 2:STE 220
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3658
Practice Address - Country:US
Practice Address - Phone:847-895-4540
Practice Address - Fax:847-895-4544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL HEALTH CARE ASSOCIATES LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-11
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty