Smccs, Inc.

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

SMCCS, INC.

Doing business as

Specialized Max Care Clinical Services, Inc.

Practice address

490 W Lake St Unit 3
Roselle, IL 60172-3551

Phone

(630) 550-7252

Fax

(866) 656-1698

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Noor Fatima Husain, M.D.NPI 1487836821

Title

Ceo

Phone

(630) 550-7252

Specialties & licenses 2

Addresses

Other names 1

• SPECIALIZED MAX CARE CLINICAL SERVICES, INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23175/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Noor Fatima Husain, M.D.

  • Psychiatry Physician
  • Roselle, IL
  • NPI 1487836821
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1336593714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST UNIT 3",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723551",
            "telephone_number": "630-550-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST UNIT 3",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723551",
            "telephone_number": "630-550-7252",
            "fax_number": "866-656-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMCCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "NOOR",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-550-7252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALIZED MAX CARE CLINICAL SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPECIALIZED MAX CARE CLINICAL SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Marie Shelton-Espinosa, L.C.S.W.
• Michael Sheppard
• Arshi Siddiqui, DDS
• Grace Marie Sievers, SLP
• Siri E. Hansen, LCPC
• Snyder-Mark Roselle Drugs Inc (Mark Drugs Roselle)
• Snyder-Mark Roselle Drugs Inc (Mark Drugs Roselle)
• Soundways Hearing Health Inc
• Angela Staley
• Gina Szwed, RN

• Behavioral Neurology & Neuropsychiatry Physician in Roselle, IL
• Providers in Roselle, IL by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.