Individual provider Active NPI

Yahaira Espada, M.D.

  • Psychiatry Physician
  • Cicero, IL
National Provider Identifier
1154638872
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.160671 Issued in IL
Practice address
5341 W Cermak Rd
Cicero, IL 60804-2817
Phone
(708) 656-6430
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N8394 TX
Psychiatry Physician 2084P0800X 25MA08832300 NJ
Psychiatry Physician 2084P0800X 036.160671 IL Primary

Addresses

Primary practice location

5341 W Cermak Rd
Cicero, IL 60804-2817

Mailing address

26 S Coria St
Suite B-2
Brownsville, TX 78520-7565
Phone (956) 621-0587

Other practice location 1

26 S Coria St
Suite B-2
Brownsville, TX 78520-7565
Phone (956) 621-0587

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230727000938 IL Practitioner - Psychiatry 3375707854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independence Health and TherapyGroup PAC ID 2062315849, 6 clinicians
Family Service and Mental Health Center of CiceroGroup PAC ID 6800827254, 3 clinicians

Practice addresses (Care Compare)

2028 N Seminary Ave
Woodstock, IL 60098-2626
Phone (815) 338-3590

5341 W Cermak Rd
Cicero, IL 60804-2817
Phone (708) 656-6430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.160671ILMDPsychiatry Physician
25MA08832300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service and Mental Health Center of Cicero CurrentSince Aug 1, 2023 Accepting new patients
Jose L. Villalobos, Jr. , MD, PA Current Accepting new patients

Locations

5341 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-6430

Organizations & group practices 3

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1154638872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S CORIA ST",
            "address_2": "SUITE B-2",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207565",
            "telephone_number": "956-621-0587",
            "fax_number": "956-621-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042817",
            "telephone_number": "708-656-6430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 S Coria St",
            "address_2": "Suite B-2",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785207565",
            "country_code": "US",
            "telephone_number": "956-621-0587",
            "fax_number": "956-621-0595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPADA",
        "first_name": "YAHAIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N8394",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08832300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.160671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.