NPIMap

Organization Active NPI

Holistic Psychiatry Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Energy, IL
National Provider Identifier
1285906198
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
036.128348 Issued in IL
Legal business name
HOLISTIC PSYCHIATRY INC
Practice address
202 S Pershing St
Energy, IL 62933
Phone
(618) 942-8645
Fax
(618) 942-8640
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Reno K Ahuja, MD.
Title
President
Phone
(618) 942-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 036.128348 IL Primary

Addresses

Primary practice location

202 S Pershing St
Energy, IL 62933

Mailing address

202 S Pershing St
PO Box 490
Energy, IL 62933
Phone (618) 942-8645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1285906198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PERSHING ST",
            "address_2": "PO BOX 490",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "62933",
            "telephone_number": "618-942-8645",
            "fax_number": "618-942-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PERSHING ST",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "62933",
            "telephone_number": "618-942-8645",
            "fax_number": "618-942-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "RENO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-942-8645",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "036.128348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Energy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.