Organization Active NPI

Anxiety Centers of Illinois

  • Clinical Psychologist
  • Crystal Lake, IL
National Provider Identifier
1144971581
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANXIETY CENTERS OF ILLINOIS
Practice address
600 Dakota St.
Crystal Lake, IL 60012
Phone
(847) 854-8200
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Patrick B McGrath, PH.D.
Title
President-Aci
Phone
(847) 854-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

600 Dakota St.
Crystal Lake, IL 60012

Mailing address

1144 Ridgewood Circle
Lake in the Hills, IL 60156
Phone (847) 854-8200

National Provider Directory

National Provider Directory

Locations

600 Dakota St
Crystal Lake, IL 60012
Phone (847) 220-8428

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1144971581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 RIDGEWOOD CIRCLE",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-854-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAKOTA ST.",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60012",
            "telephone_number": "847-854-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY CENTERS OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT-ACI",
        "authorized_official_telephone_number": "847-854-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.