Organization Active NPI

Psychealth, LTD.

  • Health Maintenance Organization
  • Evanston, IL
National Provider Identifier
1265549901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.