Organization Active NPI

Cater Psychiatry PLLC

  • Psychiatry Physician
  • St Charles, IL
National Provider Identifier
1134083215
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CATER PSYCHIATRY PLLC
Practice address
2325 Dean St Ste 500-E
Saint Charles, IL 60175-4810
Phone
(708) 719-6345
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Thamir Riad Khader, MDNPI 1700428000
Title
Ceo/Founder
Phone
(856) 515-2033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2325 Dean St Ste 500-E
Saint Charles, IL 60175-4810

Mailing address

5343 Belleville Crossing St
Belleville, IL 62226-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129000283 IL Part B Supplier - Clinic/Group Practice 8224516562 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Locations

2325 Dean St
Ste 500E
Saint Charles, IL 60175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1134083215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 BELLEVILLE CROSSING ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622263108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST STE 500-E",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "708-719-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "KHADER",
        "authorized_official_first_name": "THAMIR",
        "authorized_official_middle_name": "RIAD",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "856-515-2033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.