OrganizationActive
Associated Behavioral Rehabilitation Services
NPI 1316069578 · Group Psychotherapy Psychologist · Chicago, IL
Provider details
- NPI number
- 1316069578
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fred Waltzer, Owner(773) 777-7413
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4835 W Irving Park Rd
Chicago, IL 60641-2719
Phone: (773) 777-7413
Fax: (773) 777-7416
Street-level locationGet directions
Mailing address
4835 W Irving Park Rd
Chicago, IL 60641-2719
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.