Individual provider Active NPI

Daisy Nie, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1164841722
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.146837 Issued in IL
Practice address
333 N Michigan Ave Ste 1120
Chicago, IL 60601-4001
Phone
(847) 759-9110
Fax
(224) 985-2119
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 036.146837 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 1120
Chicago, IL 60601-4001

Mailing address

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone (312) 298-9780

Other practice location 1

3535 Market St
Second floor
Philadelphia, PA 19104-3309
Phone (215) 746-7222

Other practice location 2

525 E 68th St
New York, NY 10065-4870
Phone (212) 746-3981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.146837ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Juniper Center PC CurrentSince Jul 10, 2022 Accepting new patients

Locations

1440 Renaissance Dr
Ste 320
Park Ridge, IL 60068
Phone (847) 759-9110

Organizations & group practices 1

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164841722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR STE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "312-298-9780",
            "fax_number": "224-985-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014001",
            "telephone_number": "847-759-9110",
            "fax_number": "224-985-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St",
            "address_2": "Second floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-3981",
            "fax_number": "212-746-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIE",
        "first_name": "DAISY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.146837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.