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Andersonville Behavioral Health, LLC

NPI 1770174955ActiveOrganization· Psychologist· Chicago, IL

Psychologist in Chicago, Illinois, registered in NPPES in January 2021. The authorized official on file is Alexander J. Lalley, PSYD, Coordinator Of Clinical Operations.

Overview

NPI1770174955
StatusActive
Entity typeOrganization
NPI issuedJan 29, 2021
Last updated in NPPESJan 29, 2021
Certified by providerJan 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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