Provider Demographics
NPI:1932408929
Name:BAHN AND ASSOCIATES INC
Entity Type:Organization
Organization Name:BAHN AND ASSOCIATES INC
Other - Org Name:BEHAVIORAL HEALTH CENTER OF ILLINOIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:217-679-5379
Mailing Address - Street 1:1220 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703-2421
Mailing Address - Country:US
Mailing Address - Phone:217-679-5379
Mailing Address - Fax:217-679-5349
Practice Address - Street 1:1220 S 7TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-2421
Practice Address - Country:US
Practice Address - Phone:217-679-5379
Practice Address - Fax:217-679-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3462103TC0700X, 103TC1900X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty