Suburban Psychiatry and Counseling Center LTD.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

SUBURBAN PSYCHIATRY AND COUNSELING CENTER LTD.

Practice address

621 Plainfield Rd Ste 110
Willowbrook, IL 60527-5385

Phone

(630) 325-1799

Fax

(630) 325-1882

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Syed Yousuf Khadri, M.D.

Title

Owner

Phone

(630) 985-1281

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew David Domico, MSW, LCSW

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1790999191
  NPD (past)
• Corin D Hammond, LCSW

  • Clinical Social Worker
  • Romeoville, IL
  • NPI 1891965364
  NPD (past)
• Therese M Lawrence, LCPC

  • Counselor
  • Romeoville, IL
  • NPI 1992927552
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1275722613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 110",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275385",
            "telephone_number": "630-325-1799",
            "fax_number": "630-325-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 110",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275385",
            "telephone_number": "630-325-1799",
            "fax_number": "630-325-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PSYCHIATRY AND COUNSELING CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KHADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "YOUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-985-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ana Stilson, M.D.
• Ashley Dawn Stoffel
• Strategy Anesthesia Illinois
• Renata Styka
• Suburban Medical Inc
• Ning Sun, M.D., PHD.
• Superior Vein Finders
• Supreme Aesthetics
• Suriya Sastri, MDPC
• Susan M. Felber, M.D., S.C.

• Exclusive Provider Organization in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.