Psychiatry Physicians Group LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

PSYCHIATRY PHYSICIANS GROUP LLC

Practice address

2021 Midwest Rd Ste 202
Oak Brook, IL 60523-1368

Phone

(331) 234-7287

Fax

(331) 204-0796

NPI assigned

Jul 12, 2021

Last updated

Jun 21, 2024By 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

Dr. Evan Owen Foster Deranja, MDNPI 1780849976

Title

Partner

Phone

(331) 222-7985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 4

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.

• Evan Owen Foster Deranja, M.D., PH.D.

  • Psychiatry Physician
  • Oak Brook, IL
  • NPI 1780849976
  Medicare reassignment Care Compare group Authorized official
• Manjinder Kaur Brar, MD

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1174789663
  Medicare reassignment Care Compare group NPD
• Kim Nancy Sison Duque, MD

  • Psychiatry Physician
  • Maywood, IL
  • NPI 1851547913
  Medicare reassignment Care Compare group NPD
• Kristin S Duque, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Chicago, IL
  • NPI 1104058379
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1396317111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MIDWEST RD STE 202",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231368",
            "telephone_number": "331-234-7287",
            "fax_number": "331-204-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MIDWEST RD STE 202",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231368",
            "telephone_number": "331-234-7287",
            "fax_number": "331-204-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DERANJA",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "OWEN FOSTER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "331-222-7985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert John Przybylak, OTR/L
• Psychealth Services, Inc.
• Psychopharmacology Clinics of America, S.C.
• Pulmonary, Critical Care & Sleep Associates
• Anam Qadri, PA-C
• Quality Medical Billing Services
• Quickstar Medical Equipment & Supplies

• Behavioral Neurology & Neuropsychiatry Physician in Oak Brook, IL
• Providers in Oak Brook, 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 Jun 21, 2024; 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.