Individual provider Active NPI

Gregory Jasinski, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1164735403
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.139823 Issued in IL
Practice address
6650 N Northwest Hwy Ste 215
Chicago, IL 60631-1363
Phone
(630) 216-9098
Fax
(630) 447-0008
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.139823 IL Primary

Addresses

Primary practice location

6650 N Northwest Hwy Ste 215
Chicago, IL 60631-1363

Mailing address

2S631 State Route 59 Ste E
Warrenville, IL 60555-1464
Phone (630) 216-9098

Other practice location 1

2S631 State Route 59 Ste E
Warrenville, IL 60555-1464
Phone (630) 216-9098

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
I20160831001772 IL Practitioner - Psychiatry 0345495693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians

Practice addresses (Care Compare)

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 532-6731

6650 N Northwest Hwy
Suite 215
Chicago, IL 60631-1363
Phone (630) 216-9098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.139823ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures Psychiatry CurrentSince Jul 26, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Edward Health Ventures CurrentSince Jul 26, 2016 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 7, 2020 Accepting new patients
Luxmed Behavioral Health LLC Psychiatry CurrentSince Oct 9, 2019 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Jan 25, 2019 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

6650 N Northwest Hwy
Ste 215
Chicago, IL 60631
Phone (630) 216-9098

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

1335 N Mill St
Ste 100
Naperville, IL 60563
Phone (630) 305-5118

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2S631 State Route 59
Ste E
Warrenville, IL 60555
Phone (630) 216-9098

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

804 W Park Ave
#C1
Ocean, NJ 07712

Interoperability endpoints

  • Direct secure messaging: gjasinski292555@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1164735403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S631 STATE ROUTE 59 STE E",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551464",
            "telephone_number": "630-216-9098",
            "fax_number": "630-447-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N NORTHWEST HWY STE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311363",
            "telephone_number": "630-216-9098",
            "fax_number": "630-447-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2S631 State Route 59 Ste E",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605551464",
            "country_code": "US",
            "telephone_number": "630-216-9098",
            "fax_number": "630-447-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASINSKI",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.139823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.