Individual provider Active NPI

Matthew S. Robin, D.O.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1447499470
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125055197 Issued in IL
Practice address
800 W Diversey Pkwy Ste 200
Chicago, IL 60614-1412
Phone
(312) 796-7121
Fax
(888) 523-4767
NPI assigned
Feb 14, 2009
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125055197 IL Primary

Addresses

Primary practice location

800 W Diversey Pkwy Ste 200
Chicago, IL 60614-1412

Mailing address

800 W Diversey Pkwy Ste 200
Chicago, IL 60614-1412
Phone (312) 796-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Brightland Health LLC Psychiatry CurrentSince Sep 8, 2019 Accepting new patients

Locations

561 W Diversey Pkwy
Ste 217
Chicago, IL 60614
Phone (773) 906-4546

800 W Diversey Pkwy
Ste 200
Chicago, IL 60614
Phone (312) 796-7121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1447499470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W DIVERSEY PKWY STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141412",
            "telephone_number": "312-796-7121",
            "fax_number": "888-523-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W DIVERSEY PKWY STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141412",
            "telephone_number": "312-796-7121",
            "fax_number": "888-523-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-14",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125055197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.