Active NPI
Danesh A Alam, MD
- Psychiatry Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME97712
- Practice address
- 27W350 High Lake Rd Ste 208
Winfield, IL 60190-1262 - Phone
- (630) 933-6767
- Fax
- (708) 686-0010
- NPI assigned
- Aug 1, 2006
- Last updated
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-101113 | IL | |
| Psychiatry Physician | 2084P0800X | ME97712 | FL | Primary |
Addresses
Primary practice location
27W350 High Lake Rd Ste 208
Winfield, IL 60190-1262
Mailing address
109 Symonds Dr Unit 297
Hinsdale, IL 60522-7325
Phone (630) 321-1115
Other names 1
- Dr. Danesh Alam
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 |
|---|---|---|---|
| ME97712 | FL | MD | Psychiatry Physician |
| 036-101113 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Academy at Ambrosia LLC | Current | Accepting new patients | |
| Midwest Detox at Ambrosia LLC Midwest Detox | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Psychelp Counseling & Psychiatry | Past | Accepting new patients | |
| RMP Enterprises, LLC | Past | Accepting new patients | |
| Alexian Brothers Behavioral Health Hospital | Psychiatry | Past | Accepting new patients |
Locations
1091 SW Bayshore Blvd
Port St Lucie, FL 34983
Phone (772) 323-2099
1091 SW Bayshore Blvd
Ste 103
Port St Lucie, FL 34983
222 Picadilly St
West Palm Beach, FL 33407
Phone (561) 578-8585
222 Picadilly St
Ste D
West Palm Beach, FL 33407
Phone (561) 545-1095
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- West Palm Beach, FL
- NPI 1497533343
-
- Children's Substance Abuse Rehabilitation Facility
- Port Saint Lucie, FL
- NPI 1346015500
-
dba Alexian Brothers Behavioral Health Hospital Outpatient Group Practice
- Psychiatry Physician
- Hoffman Estates, IL
- NPI 1801318928
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Mental Health Counselor
- Naperville, IL
- NPI 1215786199
-
dba Ambrosia Treatment Center
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Port St Lucie, FL
- NPI 1588850945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1043227200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SYMONDS DR UNIT 297",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605227325",
"telephone_number": "630-321-1115",
"fax_number": "630-321-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27W350 HIGH LAKE RD STE 208",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901262",
"telephone_number": "630-933-6767",
"fax_number": "708-686-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "DANESH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-101113",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME97712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANESH",
"last_name": "ALAM",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.