NPIMap

Organization Active NPI

Central Il Psychiatric Associates, Inc

  • Psychiatry Physician
  • Normal, IL
National Provider Identifier
1265509392
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTRAL IL PSYCHIATRIC ASSOCIATES, INC
Practice address
405 Kays Drive
Suite B
Normal, IL 61761
Phone
(309) 862-0064
Fax
(309) 862-1542
NPI assigned
Nov 30, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Mr. Raju N Paturi, MDNPI 1912085010
Title
Owner
Phone
(309) 862-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

405 Kays Drive
Suite B
Normal, IL 61761

Mailing address

405 Kays Dr
Suite B
Normal, IL 61761-1979
Phone (309) 862-0064

National Provider Directory

National Provider Directory

Locations

405 Kays Dr
Normal, IL 61761
Phone (309) 807-5077

405 Kays Dr
Ste B
Normal, IL 61761
Phone (309) 862-0064

3116 N Dries Ln
Peoria, IL 61604
Phone (309) 686-1147

Practitioners & affiliated clinicians

Practitioners 9

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1265509392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KAYS DR",
            "address_2": "SUITE B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611979",
            "telephone_number": "309-862-0064",
            "fax_number": "309-862-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KAYS DRIVE",
            "address_2": "SUITE B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-862-0064",
            "fax_number": "309-862-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IL PSYCHIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "PATURI",
        "authorized_official_first_name": "RAJU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-862-0064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.