Active NPI
Mary C. Collins, M.D.
- Psychiatry Physician
- Hines, IL
National Provider Identifier
1447210877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 5000 South 5TH Avenue
Edward Hines, Jr. VA Hospital
Hines, IL 60141 - Phone
- (708) 202-8387
- Fax
- (708) 202-2024
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
5000 South 5TH Avenue
Edward Hines, Jr. VA Hospital
Hines, IL 60141
Mailing address
5000 South 5TH Avenue
Edward Hines, Jr. VA Hospital
Hines, IL 60141
Phone (708) 202-2838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-059564 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1447210877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SOUTH 5TH AVENUE",
"address_2": "EDWARD HINES, JR. VA HOSPITAL",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-2838",
"fax_number": "708-202-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SOUTH 5TH AVENUE",
"address_2": "EDWARD HINES, JR. VA HOSPITAL",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-8387",
"fax_number": "708-202-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MARY",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.