Individual provider Active NPI

Christine Margaret Abt, APN, CS.

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Carol Stream, IL
National Provider Identifier
1073546016
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
License
209-004215 Issued in IL
Practice address
Advance Psychiatry and Counseling
Billing Dept. 5973
Carol Stream, IL 60122-0001
Phone
(630) 855-2614
NPI assigned
Jul 9, 2006
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 209-004215 IL Primary

Addresses

Primary practice location

Advance Psychiatry and Counseling
Billing Dept. 5973
Carol Stream, IL 60122-0001

Mailing address

385 Wirtz Rd
Health Services
Dekalb, IL 60115
Phone (815) 753-1311

Other names 1

  • Christine Margaret Haack Former name

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

State licenses

LicenseStateTypeSpecialty
209-004215ILMDCommunity Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Psychiatry & Counseling, SC. Past Accepting new patients
Stephen Rivera LTD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1073546016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WIRTZ RD",
            "address_2": "HEALTH SERVICES",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-753-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVANCE PSYCHIATRY AND COUNSELING",
            "address_2": "BILLING DEPT. 5973",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220001",
            "telephone_number": "630-855-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABT",
        "first_name": "CHRISTINE",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "APN, CS.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "IL",
            "license": "209-004215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HAACK",
            "middle_name": "MARGARET",
            "credential": "APN, CS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.