Northwest Psychiatric SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHWEST PSYCHIATRIC SC

Practice address

1217 N McHenry Road
Suite 236
Buffalo Grove, IL 60089-1108

Phone

(847) 821-0590

Fax

(847) 821-0720

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan Nathan Miller, MDNPI 1457535007

Title

Owner Private Practitioner

Phone

(847) 821-0590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Alan Nathan Miller, M.D.

  • Psychiatry Physician
  • Buffalo Grove, IL
  • NPI 1457535007
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154460004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 N MCHENRY ROAD",
            "address_2": "SUITE 236",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891108",
            "telephone_number": "847-821-0590",
            "fax_number": "847-821-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 N MCHENRY ROAD",
            "address_2": "SUITE 236",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891108",
            "telephone_number": "847-821-0590",
            "fax_number": "847-821-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHIATRIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "847-821-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "04932119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.