MEDICARE: BARRINGTON BEHAVIORAL HEALTH & WELLNESS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	071-005803	IL

General Provider Information

NPI Number	:	1851675631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRINGTON BEHAVIORAL HEALTH & WELLNESS PC

Provider Business Mailing Address
First Line	:	290 N RAND RD
Second Line	:
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-2213
Country	:	US
Telephone Number	:	773-220-3001
Fax Number	:	847-847-7495

Provider Business Practice Location Address
First Line	:	290 N RAND RD
Second Line	:
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-2213
Country	:	US
Telephone Number	:	773-220-3001
Fax Number	:	847-847-7495

Authorized Official
Title or Position	:	PSYCHOLOGIST / PRESIDENT
Name	:	DR. DENISE M. CASEY
Credential	:	PSY.D
Telephone Number	:	888-261-2178

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	06/05/2014

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