NPIMap

Organization Active NPI

Ewn, Inc

Doing business as Creekwood Associates

  • Child & Adolescent Psychiatry Physician
  • St Charles, IL
National Provider Identifier
1467712414
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036-121-588 Issued in IL
Legal business name
EWN, INC
Doing business as
Creekwood Associates
Practice address
240 S 5TH Ave
Suite B
St Charles, IL 60174-2905
Phone
(314) 223-2993
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Eric Ward Nolan, MDNPI 1275723181
Title
Child and Adolescent Psychiatrist
Phone
(314) 223-2993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 036-121-588 IL Primary

Addresses

Primary practice location

240 S 5TH Ave
Suite B
St Charles, IL 60174-2905

Mailing address

40W615 Stonebriar LN
Elgin, IL 60124-8162
Phone (314) 223-2993

Other names 1

  • Creekwood Associates Doing business as

National Provider Directory

National Provider Directory

Locations

240 S 5th Ave
Ste B
St Charles, IL 60174
Phone (314) 223-2993

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1467712414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W615 STONEBRIAR LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248162",
            "telephone_number": "314-223-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 5TH AVE",
            "address_2": "SUITE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742905",
            "telephone_number": "314-223-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "314-223-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-121-588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekwood Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.