Illinois Associates in Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

060006403 Issued in IL

Legal business name

ILLINOIS ASSOCIATES IN PSYCHIATRY PC

Practice address

4500 Memorial Dr
Belleville, IL 62226-5360

Phone

(618) 656-2000

NPI assigned

May 15, 2009

Organization subpart

Yes

Parent organization

ILLINOIS ASSOCIATES IN PSYCHIATRY PCAs reported in NPPES

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

Authorized official

Name

Kim Stevens

Title

Operations Manager

Phone

(618) 656-2000

Specialties & licenses 1

Addresses

Tax ID family

Illinois Associates in Psychiatry PC3 organizations share this tax ID, including this one

Part of

Illinois Associates in Psychiatry PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Illinois Associates in Psychiatry PC

  • Psychiatry Physician
  • Glen Carbon, IL
  • NPI 1083849368
  NPD tax ID
• Illinois Associates Psychiatry P C

  • Psychiatry Physician
  • Edwardsville, IL
  • NPI 1023108875
  NPD tax ID

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1174758452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A SOUTHPOINTE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253651",
            "telephone_number": "618-656-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-656-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ASSOCIATES IN PSYCHIATRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS ASSOCIATES IN PSYCHIATRY PC",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "618-656-2000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "060006403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hutchinson, SLP
• Courtney L Hutkowski, ACNP
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• Ifath G. Bashiruddin M.D.S.C.
• Infectious Disease Consultants
• Infinity-Meds LLP
• Innovative Eye Care Solutions, LTD. (Belleville Optometrists, Ltd.)
• Inspire Community Homes
• Inspire Community Homes LLC

• Psychiatry Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.