Bradley M. Pechter, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036083911 Issued in IL

Practice address

675 W North Ave
306
Melrose Park, IL 60160-1634

Phone

(847) 329-9210

Fax

(708) 681-9280

NPI assigned

May 17, 2007

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Northwestern University Feinberg Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Integrative Center for Psychology LLCGroup PAC ID 6800288754, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chicago Integrative Center for Psychology LLC

  • Psychiatry Physician
  • Lake Bluff, IL
  • NPI 1649785486
  Medicare reassignment Care Compare group NPD
• Careforce Homehealth Inc.

  • Home Health Agency
  • Skokie, IL
  • NPI 1184922775
  NPD
• Peer Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Evanston, IL
  • NPI 1881730620
  NPD
• Gottlieb Community Health Services Corporation

  • Psychiatric Hospital Unit
  • Berwyn, IL
  • NPI 1700864352
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1093922346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "306",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "847-329-9210",
            "fax_number": "708-681-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "306",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "847-329-9210",
            "fax_number": "708-681-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHTER",
        "first_name": "BRADLEY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036083911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmal Patodia, MD
• Shobhana Patodia, MD
• Melvyn Payton Jr.
• PCC Community Wellness Center (PCC Melrose Park Family Health Center)
• Terri L. Pearson, MA
• Pediatric and Adolescent Gastroenterology Group Inc
• Kayla Perez, FNP
• Vicente Perez
• Dana C. Perry, M.D.
• Peter E Eupierre M.D P.C

• Child & Adolescent Psychiatry Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.