North Park Clinic, S.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTH PARK CLINIC, S.C.

Practice address

444 N Northwest Hwy Ste 170
Park Ridge, IL 60068-6402

Phone

(847) 692-7101

Fax

(847) 692-7126

NPI assigned

Sep 20, 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

Dickie Kay, M.D.NPI 1497846042

Title

Owner

Phone

(847) 692-7101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Dickie Kay, M.D.

  • Psychiatry Physician
  • Park Ridge, IL
  • NPI 1497846042
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275630444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 170",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600686402",
            "telephone_number": "847-692-7101",
            "fax_number": "847-692-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 170",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600686402",
            "telephone_number": "847-692-7101",
            "fax_number": "847-692-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "DICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-692-7101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0001615772",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) 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.