Active NPI
Child and Family Psychiatric Center LLC
- Child & Adolescent Psychiatry Physician
- Northbrook, IL
National Provider Identifier
1003343872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036126451
- Legal business name
- CHILD AND FAMILY PSYCHIATRIC CENTER LLC
- Practice address
- 1450 Techny Rd
Northbrook, IL 60062-5447 - Phone
- (847) 562-5612
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faig Aliev
- Title
- Administrator
- Phone
- (847) 443-0006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036126451 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036126451 | IL | Primary |
Addresses
Primary practice location
1450 Techny Rd
Northbrook, IL 60062-5447
Mailing address
1450 Techny Rd
Northbrook, IL 60062-5447
Phone (847) 443-0006
National Provider Directory
National Provider DirectoryLocations
1893 Sheridan Rd
Ste 217
Highland Park, IL 60035
Phone (847) 432-2420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Northbrook, IL
- NPI 1669635108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655856000000",
"number": "1003343872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TECHNY RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600625447",
"telephone_number": "847-443-0006",
"fax_number": "847-586-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 TECHNY RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600625447",
"telephone_number": "847-562-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD AND FAMILY PSYCHIATRIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A",
"authorized_official_last_name": "ALIEV",
"authorized_official_first_name": "FAIG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-443-0006"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036126451",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036126451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.