Diagnostic Psychiatry SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DIAGNOSTIC PSYCHIATRY SC

Practice address

4711 W Golf Rd
Suite 400
Skokie, IL 60076

Phone

(847) 679-3079

Fax

(847) 679-8340

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette Risdon, MDNPI 1811008725

Title

President

Phone

(847) 679-3079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• Antoinette Risdon, MD

  • Psychiatry Physician
  • Skokie, IL
  • NPI 1811008725
  Medicare reassignment NPD Authorized official
• Alain Erich Decastro, MD

  • Psychiatry Physician
  • Skokie, IL
  • NPI 1710080288
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326159229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 W GOLF RD",
            "address_2": "SUITE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-679-3079",
            "fax_number": "847-679-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 W GOLF RD",
            "address_2": "SUITE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-679-3079",
            "fax_number": "847-679-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PSYCHIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISDON",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupa V. Desai, DO
• Joseph Anthony Desantis, PHARMD
• Devine Home Care, Inc.
• Mary-Cate Devitt, APN-CNP
• Kristen Dewolf, BCBA
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Skokie)
• Celeste Diamante, P.T.
• Diane Home Care, Inc.
• Bianca Diaz
• Ashley Dicosola

• Psychiatry Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Psychiatry Physician 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.
• 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.