Adi Pediatric Behavioral Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ADI PEDIATRIC BEHAVIORAL HEALTH

Practice address

1100 W Central
#405
Arlington Heights, IL 60005

Phone

(847) 577-7705

Fax

(547) 577-7712

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Atula Sharma, MDNPI 1790850618

Title

Owner

Phone

(847) 577-7705

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Atula Sharma, M.D

  • Psychiatry Physician
  • Arlington HTS, IL
  • NPI 1790850618
  NPD (past) Authorized official
• Jailan Hanafy, M.D.

  • Child & Adolescent Psychiatry Physician
  • Palatine, IL
  • NPI 1811340292
  NPD (past)
• Asako Hoichi, LCPC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1285752220
  NPD (past)
• Morgan Fallor, MD

  • Child & Adolescent Psychiatry Physician
  • Topeka, KS
  • NPI 1083005185
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225134976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38785 N DREXEL BLVD",
            "city": "ANITOCH",
            "state": "IL",
            "postal_code": "60002",
            "telephone_number": "847-577-7705",
            "fax_number": "847-577-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL",
            "address_2": "#405",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-577-7705",
            "fax_number": "547-577-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADI PEDIATRIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ATULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-577-7705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.