Active NPI
Daisy Nie, MD
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1164841722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.146837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146837 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Juniper Center PC | Current | 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.
-
- Mental Health Counselor
- Park Ridge, IL
- NPI 1902906324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.