Southwest Psychiatric Services, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOUTHWEST PSYCHIATRIC SERVICES, SC

Practice address

11512 W 183Rd St
Suite NE
Orland Park, IL 60467-9406

Phone

(708) 478-6470

Fax

(708) 478-6471

NPI assigned

Oct 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Scott Bartuska, MD

Title

President

Phone

(708) 478-6470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Kay Budick, R.N., C.N.S.

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
  • NPI 1023187069
  NPD (past)
• Frank Joseph Demma, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1730272261
  NPD (past)
• Jeffry Hunter-Eggman, LCSW

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1235215690
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457437899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 W 183RD ST",
            "address_2": "SUITE NE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679406",
            "telephone_number": "708-478-6470",
            "fax_number": "708-478-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 W 183RD ST",
            "address_2": "SUITE NE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679406",
            "telephone_number": "708-478-6470",
            "fax_number": "708-478-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PSYCHIATRIC SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTUSKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-478-6470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01623641",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Dermatology, PC
• Southwest Endodontics
• Southwest Foot and Ankle, LLC
• Southwest Head & Neck Surgical Assoc SC (Joseph P Gavron MD)
• Southwest Nephrology Associates, S.C.
• Southwest Surgical Assistants
• Southwest Vision Therapy, P.C.
• Madison Spaargaren
• Lauren Ann Spakausky, RBT
• Ananya T. Spann, M.D.

• Psychiatry Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.