Active NPI
Hope Psychiatry SC
- Neurology Physician
- Crystal Lake, IL
National Provider Identifier
1194215137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036113400
- Legal business name
- HOPE PSYCHIATRY SC
- Practice address
- 500 Coventry LN
Crystal Lake, IL 60014-7579 - Phone
- (847) 786-3399
- NPI assigned
- May 15, 2018
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amera Rahman, MD
- Title
- Owner
- Phone
- (847) 791-8029
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036113400 | IL | Primary |
Addresses
Primary practice location
500 Coventry LN
Crystal Lake, IL 60014-7579
Mailing address
584 Westwood LN
Glencoe, IL 60022-1037
Phone (847) 791-8029
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Glencoe, IL
- NPI 1760502306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1194215137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 WESTWOOD LN",
"city": "GLENCOE",
"state": "IL",
"postal_code": "600221037",
"telephone_number": "847-791-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COVENTRY LN",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147579",
"telephone_number": "847-786-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE PSYCHIATRY SC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-15",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "AMERA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-791-8029",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036113400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.