Organization Active NPI

Values Based Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Charles, IL
National Provider Identifier
1164913802
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VALUES BASED PSYCHIATRY
Practice address
22 N 4TH St
Saint Charles, IL 60174-1818
Phone
(224) 300-8641
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Elizabeth Notaro
Title
Cfo
Phone
(224) 300-8641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

22 N 4TH St
Saint Charles, IL 60174-1818

Mailing address

22 N 4TH St
Saint Charles, IL 60174-1818
Phone (224) 300-8641

National Provider Directory

National Provider Directory

Locations

22 N 4th St
St Charles, IL 60174
Phone (630) 300-1502

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1164913802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N 4TH ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741818",
            "telephone_number": "224-300-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N 4TH ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741818",
            "telephone_number": "224-300-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUES BASED PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "NOTARO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-300-8641"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.