Organization Active NPI

Sunrise Behavioral Health LLC

  • Psychiatry Physician
  • Lombard, IL
National Provider Identifier
1285387985
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUNRISE BEHAVIORAL HEALTH LLC
Practice address
477 E Butterfield Rd Unit 3062a
Lombard, IL 60148-5618
Phone
(847) 749-5728
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Dr. Jamsheed Khan, MD
Title
President
Phone
(847) 749-5728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

477 E Butterfield Rd Unit 3062a
Lombard, IL 60148-5618

Mailing address

PO Box 5310
Villa Park, IL 60181-5301
Phone (847) 749-5728

National Provider Directory

National Provider Directory

Locations

477 E Butterfield Rd
Unit 3062A
Lombard, IL 60148
Phone (224) 431-0172

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1285387985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5310",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815301",
            "telephone_number": "847-749-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD UNIT 3062A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "847-749-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAMSHEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-749-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.