Psychmed Clinic Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHMED CLINIC INC

Practice address

2159 W Madison St
Chicago, IL 60612-2307

Phone

(508) 979-5557

Fax

(508) 979-5955

NPI assigned

May 19, 2020

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zain Kagzi

Title

Director Operations

Phone

(508) 817-5129

Specialties & licenses 1

Addresses

Other names 1

• PSYCHMED CLINIC INC Former legal business name

Locations

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1326661802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122307",
            "telephone_number": "508-979-5557",
            "fax_number": "508-979-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122307",
            "telephone_number": "508-979-5557",
            "fax_number": "508-979-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHMED CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "KAGZI",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "508-817-5129"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSYCHMED CLINIC INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.