Claripath Psychiatry PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Anna, IL
NPI 1265317523 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1265317523
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CLARIPATH PSYCHIATRY PLLC
- Practice address
- 330 S Main St
Anna, IL 62906-1242 - Phone
- (618) 270-7879
- Fax
- (949) 864-3553
- NPI assigned
- Aug 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Keith Samuel Bass, PMHNP-BC
- Title
- Owner/Provider
- Phone
- (618) 270-7879
Practitioners 1
-
Keith Samuel Bass, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251126000229 | IL | Part B Supplier - Clinic/Group Practice | 1759873789 |
Receives reassigned benefits from 1 practitioner Practice locations: Anna, IL |
National Provider Directory
Locations
330 S Main St
Anna, IL 62906
Phone (618) 270-7879
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
330 S Main St
Anna, IL 62906-1242
Mailing address
2501 Chatham Rd # 4358
Springfield, IL 62704-4188
Phone (618) 270-7879
Other providers in Anna, IL
- Chamness Care, Inc
- Kacey Chamness
- Melissa Chapman
- Chiro Tess, LLC
- Brenda Maria Cirre
- Community Integrated Living, Inc.
- Rebecca Compton
- Abigail Cowser-Barnett
- Crabtree and Merriman Dctrs of Optometry
- Deaconess Illinois Clinic, Inc
All providers in Anna, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.