NPIMap

Organization Active NPI

Mary Birkey PC

  • Community/Behavioral Health Agency
  • Frankfort, IL
National Provider Identifier
1063164119
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARY BIRKEY PC
Doing business as
Mary Birkey PC
Practice address
21 S White St Unit 3
Frankfort, IL 60423-4007
Phone
(815) 662-5480
NPI assigned
Jan 20, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mary Ciszek, LCSW
Title
President
Phone
(708) 641-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21 S White St Unit 3
Frankfort, IL 60423-4007

Mailing address

19625 Beechnut Dr
Mokena, IL 60448-9333
Phone (708) 641-4767

Other practice location 1

16151 Weber Rd
Crest Hill, IL 60403-0863
Phone (815) 733-5490

Other names 1

  • Mary Birkey PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1063164119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19625 BEECHNUT DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489333",
            "telephone_number": "708-641-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S WHITE ST UNIT 3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604234007",
            "telephone_number": "815-662-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16151 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030863",
            "country_code": "US",
            "telephone_number": "815-733-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY BIRKEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CISZEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-641-4767",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Birkey PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.