Individual provider Active NPI

Arlene Angela Paden, M.D.

  • Psychiatry Physician
  • New Lenox, IL
National Provider Identifier
1093876534
Registry record updated Jun 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.139564 Issued in IL
Practice address
2081 Calistoga Dr
Suite 2S
New Lenox, IL 60451-4831
Phone
(815) 418-6070
Fax
(779) 803-3119
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.139564 IL Primary

Addresses

Primary practice location

2081 Calistoga Dr
Suite 2S
New Lenox, IL 60451-4831

Mailing address

PO Box 441
Flossmoor, IL 60422-0441
Phone (240) 346-3439

Other identifiers 1

IdentifierTypeStateIssuer
546921000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160426000999 IL Practitioner - Psychiatry 2264429265
I20180430002473 IN Practitioner - Psychiatry 2264429265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southlake Community Mental Health Center IncGroup PAC ID 5991600355, 37 clinicians

Practice addresses (Care Compare)

8555 Taft St
Merrillville, IN 46410-6123
Phone (219) 769-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.139564ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Community Mental Health Center Inc. CurrentSince Apr 6, 2018 Accepting new patients
Pinnacle Center for Mental Health & Human Relations LLC PastSince Feb 1, 2014 Accepting new patients

Locations

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

Interoperability endpoints

  • Direct secure messaging: arlene.paden.p1@direct.geminus.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1093876534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604220441",
            "telephone_number": "240-346-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR",
            "address_2": "SUITE 2S",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514831",
            "telephone_number": "815-418-6070",
            "fax_number": "779-803-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "ARLENE",
        "middle_name": "ANGELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.139564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546921000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.