Aven Harbor, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AVEN HARBOR, PLLC

Practice address

25 E Washington St Ste 1820
Chicago, IL 60602-1831

Phone

(847) 834-9164

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Andrew J Matrick, MDNPI 1952805442

Title

Partner

Phone

(847) 834-9164

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Jacob Matrick, MD, MBA

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1952805442
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1346989894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021831",
            "telephone_number": "847-834-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEN HARBOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MATRICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-834-9164",
        "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": []
}

• Natalia Anna Avelar, DPT, CERT. MDT
• Laura Avellana-Champer, RD, LDN
• Russell Lloyd Avellana
• Avellino Group Limited
• Claire Hanley Avellone, LCSW
• Franyely Avendano Romero, DMD
• Maria Veronica Avendano, MD
• Sonya Avendano, LCPC
• David Michael Avenetti, DDS, MSD, MPH
• Avenue Care Center

• 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 Jun 2, 2022; 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.