Psychiatry Specialists

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

036121844 Issued in IL

Legal business name

PSYCHIATRY SPECIALISTS

Practice address

855 W 103Rd St
Suite 100
Chicago, IL 60643-2357

Phone

(773) 239-9600

NPI assigned

Apr 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Ratcliffe

Title

Officer

Phone

(773) 239-9600

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1003172404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 N BEACON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405518",
            "telephone_number": "773-239-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 103RD ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432357",
            "telephone_number": "773-239-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "RATCLIFFE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "773-239-9600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "036121844",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036121844",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "036121844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121844",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psych Wellness Corp
• Psychbreak PLLC
• Psychewellness
• Psychiatric Associates SC
• Psychiatry & Behavioral Health, LLC
• Psychiatry Specialists P.C.
• Psychmed Clinic Inc
• Psychodynamics, P.C.
• Psychological Resources, Limited
• Psychological Services Center Inc.

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.