Active NPI
Patricia A Mueller, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1003978735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3641427
- Practice address
- 65 E Wacker PL
805
Chicago, IL 60601-7296 - Phone
- (312) 368-9499
- NPI assigned
- Dec 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3641427 | IL | Primary |
Addresses
Primary practice location
65 E Wacker PL
805
Chicago, IL 60601-7296
Mailing address
111 N Wabash Ave
Ste 1911
Chicago, IL 60602-2967
Phone (312) 368-9499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629091368 | Other | IL | CORPORATION NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3641427 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1003978735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "STE 1911",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022967",
"telephone_number": "312-368-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E WACKER PL",
"address_2": "805",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017296",
"telephone_number": "312-368-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "3641427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION NPI NUMBER",
"identifier": "1629091368",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.