Active NPI
Psychealth, LTD.
- Health Maintenance Organization
- Evanston, IL
National Provider Identifier
1265549901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- PSYCHEALTH, LTD.
- Practice address
- 922 Davis St
Evanston, IL 60201-3605 - Phone
- (847) 864-4961
- Fax
- (847) 864-9930
- NPI assigned
- Aug 25, 2006
- 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
- Janet Marie Obrien
- Title
- Administrator
- Phone
- (847) 864-4961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | IL | Primary |
Addresses
Primary practice location
922 Davis St
Evanston, IL 60201-3605
Mailing address
922 Davis St
Evanston, IL 60201-3605
Phone (847) 864-4961
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265549901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013605",
"telephone_number": "847-864-4961",
"fax_number": "847-864-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013605",
"telephone_number": "847-864-4961",
"fax_number": "847-864-9930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHEALTH, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-864-4961"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- 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.