Active NPI
Antony V Antony, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lockport, IL
National Provider Identifier
1093470692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.024313
- Practice address
- 16540 S Nottingham CT
Lockport, IL 60441-6289 - Phone
- (630) 363-6785
- NPI assigned
- Nov 8, 2021
- Last updated
- Nov 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.024313 | IL | Primary |
Addresses
Primary practice location
16540 S Nottingham CT
Lockport, IL 60441-6289
Mailing address
16540 S Nottingham CT
Lockport, IL 60441-6289
Phone (630) 363-6785
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024313 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bassi Mental Health PA | Current | Accepting new patients |
Locations
1820 State Road 13 N
Ste 11926
St Johns, FL 32259
Phone (888) 730-5220
1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334
Organizations & group practices 1
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": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1093470692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16540 S NOTTINGHAM CT",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604416289",
"telephone_number": "630-363-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16540 S NOTTINGHAM CT",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604416289",
"telephone_number": "630-363-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "ANTONY",
"middle_name": "V",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.024313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.