The Depression Clinic of Chicago, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE DEPRESSION CLINIC OF CHICAGO, LLC

Practice address

10024 Skokie Blvd
Suite 311
Skokie, IL 60077-9944

Phone

(800) 322-0949

Fax

(800) 322-0949

NPI assigned

Mar 29, 2010

Last updated

Mar 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dheeraj K. Raina, M.D.NPI 1881768950

Title

Executive Director

Phone

(847) 420-4552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dheeraj Kanhayalal Raina

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Indianapolis, IN
  • NPI 1881768950
  NPD (past) Authorized official

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1154646503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 311",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 311",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779944",
            "telephone_number": "800-322-0949",
            "fax_number": "800-322-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEPRESSION CLINIC OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "RAINA",
        "authorized_official_first_name": "DHEERAJ",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-420-4552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.