Active NPI
Dr. Lavinia L Myers, PC
- Psychiatry Physician
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DR. LAVINIA L MYERS, PC
- Practice address
- 16W281 83Rd St Ste B
Burr Ridge, IL 60527-7967 - Phone
- (630) 581-7798
- Fax
- (630) 581-7799
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lavinia Myers, MD
- Title
- President
- Phone
- (708) 860-7290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
16W281 83Rd St Ste B
Burr Ridge, IL 60527-7967
Mailing address
16W281 83Rd St Ste B
Burr Ridge, IL 60527-7967
Phone (630) 581-7798
Other practice location 1
8102 W 119th St Ste 1030
Palos Park, IL 60464-3081
Phone (708) 956-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16W281 83rd St
Ste B
Burr Ridge, IL 60527
Phone (630) 581-7798
8102 W 119th St
Ste 1030
Palos Park, IL 60464
Phone (708) 381-0768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Oak Brook, IL
- NPI 1821194325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631404800000",
"number": "1346833753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16W281 83RD ST STE B",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277967",
"telephone_number": "630-581-7798",
"fax_number": "630-581-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16W281 83RD ST STE B",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277967",
"telephone_number": "630-581-7798",
"fax_number": "630-581-7799"
}
],
"practiceLocations": [
{
"address_1": "8102 W 119th St Ste 1030",
"address_purpose": "LOCATION",
"city": "Palos Park",
"state": "IL",
"postal_code": "604643081",
"country_code": "US",
"telephone_number": "708-956-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR. LAVINIA L MYERS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "LAVINIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-860-7290",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.