Active NPI
Chrisantha Anandappa MD
- Adult Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1376058016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 036.132734
- Legal business name
- CHRISANTHA ANANDAPPA MD
- Practice address
- 2500 W Bradley PL Ste 100
Chicago, IL 60618-4716 - Phone
- (773) 649-0759
- Fax
- (224) 205-3757
- NPI assigned
- Dec 4, 2017
- Last updated
- Mar 17, 2018
- 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
- Dr. Chrisantha E Anandappa, MD
- Title
- Physician
- Phone
- (708) 557-1930
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 4301092315 | MI | |
| Adult Mental Health Clinic/Center | 261QM0850X | 036.132734 | IL | Primary |
Addresses
Primary practice location
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Mailing address
702 Asbury Ave
Evanston, IL 60202-2135
Phone (708) 557-1930
Other practice location 1
60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Phone (224) 306-1879
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Evanston, IL
- NPI 1154582385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1376058016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 ASBURY AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022135",
"telephone_number": "708-557-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184716",
"telephone_number": "773-649-0759",
"fax_number": "224-205-3757"
}
],
"practiceLocations": [
{
"address_1": "60 Revere Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621590",
"country_code": "US",
"telephone_number": "224-306-1879",
"fax_number": "224-205-3757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHRISANTHA ANANDAPPA MD",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-04",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "ANANDAPPA",
"authorized_official_first_name": "CHRISANTHA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-557-1930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MI",
"license": "4301092315",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "036.132734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chris Isabelle DMD PLLC
- Chris Nikolovski DDS PC
- Chris Park DDS PLLC (River Village Dental)
- Chris Peters Therapy Group PLLC
- Ifunanya Favour Chris-Ukah
- Chrisantha E Anandappa MD
- Howard Chrisman, MD
- Christ Care Health Services LLC
- Christ Missionary Home Health Agency, Inc.
- Christ Missionary Home Health Agency,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.