NPIMap

Organization Active NPI

Geiger Psychiatric Care LLC

  • Psychiatry Physician
  • Loves Park, IL
National Provider Identifier
1043356595
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GEIGER PSYCHIATRIC CARE LLC
Practice address
1752 Windsor Rd Ste 203
Loves Park, IL 61111-4276
Phone
(815) 986-2620
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Authorized official

Name
Ryan Carey, MSW, LCSWNPI 1033692306
Title
Chief Operating Officer
Phone
(815) 986-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X IL
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X IL Primary

Addresses

Primary practice location

1752 Windsor Rd Ste 203
Loves Park, IL 61111-4276

Mailing address

6377 Sebring Way
Loves Park, IL 61111-8609
Phone (815) 986-1113

Other names 1

  • Magnolia Mental Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000431 IL Part B Supplier - Clinic/Group Practice 1557312154 Receives reassigned benefits from 11 practitioners
Practice locations: Loves Park, IL

National Provider Directory

National Provider Directory

Locations

1752 Windsor Rd
Ste 203
Loves Park, IL 61111
Phone (815) 986-1113

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1043356595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 SEBRING WAY",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118609",
            "telephone_number": "815-986-1113",
            "fax_number": "815-986-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 WINDSOR RD STE 203",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114276",
            "telephone_number": "815-986-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEIGER PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "815-986-1113",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.