E a Devassy MD and Associates SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036063297 Issued in IL

Legal business name

E A DEVASSY MD AND ASSOCIATES SC

Practice address

16612 W 159TH St
Suite 204
Lockport, IL 60441-8006

Phone

(815) 588-3900

Fax

(815) 588-1414

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Lynn M Sherry

Title

Office Manager

Phone

(815) 588-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Elsy A Devassy, M.D.

  • Specialist
  • Lockport, IL
  • NPI 1417950783
  Medicare reassignment Care Compare group
• Cindy Mary Devassy, M.D.

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1447592019

  IL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1306039748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16612 W 159TH ST",
            "address_2": "SUITE 204",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418006",
            "telephone_number": "815-588-3900",
            "fax_number": "815-588-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16612 W 159TH ST",
            "address_2": "SUITE 204",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418006",
            "telephone_number": "815-588-3900",
            "fax_number": "815-588-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E A DEVASSY MD AND ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-588-3900"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036063297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063297",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group LTD
• Chloe Dwyer, RDN, LDN
• Keri Lee Dyer, LSW, MSW, M.ED
• Thane Dykstra, PH.D.
• John J Dymowski, MD
• Early Abilities, Inc.
• Paul Frederic Edelson, MD
• Elite Health Care Providers, LLC
• Chris Robert Ellis, PTA
• Lisa Maureen Ely, RCP

• Psychiatry Physician in Lockport, IL
• Providers in Lockport, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.