NPIMap

Organization Active NPI

Killian and Associates SC

  • Psychiatry Physician
  • Springfield, IL
National Provider Identifier
1487642708
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042007661 Issued in IL
Legal business name
KILLIAN AND ASSOCIATES SC
Practice address
3901 Pintail Dr Ste a
Springfield, IL 62711-6768
Phone
(217) 544-3143
Fax
(217) 544-4436
NPI assigned
Oct 11, 2005
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Terry M Killian, MDNPI 1447248869
Title
Owner
Phone
(217) 544-3143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 042007661 IL Primary

Addresses

Primary practice location

3901 Pintail Dr Ste a
Springfield, IL 62711-6768

Mailing address

3901 Pintail Dr Ste a
Springfield, IL 62711-6768
Phone (217) 544-3143

Other identifiers 1

IdentifierTypeStateIssuer
036076560MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000214 IL Part B Supplier - Clinic/Group Practice 4082503610 Receives reassigned benefits from 9 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

3901 Pintail Dr
Ste A
Springfield, IL 62711

1020 S 5th St
Springfield, IL 62703
Phone (217) 544-3143

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1487642708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINTAIL DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116768",
            "telephone_number": "217-544-3143",
            "fax_number": "217-544-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINTAIL DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116768",
            "telephone_number": "217-544-3143",
            "fax_number": "217-544-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLIAN AND ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-544-3143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "042007661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.