Organization Active NPI

Hope Psychiatry SC

  • Neurology Physician
  • Crystal Lake, IL
National Provider Identifier
1194215137
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036113400 Issued in IL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Amera Rahman, MDNPI 1760502306
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.