NPIMap

Individual provider Active NPI

Noor Fatima Husain, M.D.

  • Psychiatry Physician
  • Roselle, IL
National Provider Identifier
1487836821
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036117086 Issued in IL
Practice address
490 W Lake St Unit 3
Roselle, IL 60172-3551
Phone
(630) 989-8559
Fax
(630) 833-2487
NPI assigned
Nov 28, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 036117086 IL Primary

Addresses

Primary practice location

490 W Lake St Unit 3
Roselle, IL 60172-3551

Mailing address

490 W Lake St Unit 3
Roselle, IL 60172-3551
Phone (630) 989-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204001240 IL Practitioner - PsychiatryPractitioner - Neurology 6103981592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1845 Grandstand PL
Elgin, IL 60123-6603
Phone (847) 695-0484

490 W Lake St
Unit 3
Roselle, IL 60172-3551
Phone (690) 550-7252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117086ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecker Center for Behavioral Health CurrentSince Dec 30, 2023 Accepting new patients
Affiliated Clinical Psychologists Limited CurrentSince Nov 10, 2022 Accepting new patients
Center for Integrative and Functional Health and Wellness LLC CurrentSince Nov 10, 2022 Accepting new patients
Max Care Home Health Services Inc. CurrentSince Feb 11, 2009 Accepting new patients
Ecker Center for Behavioral Health CurrentSince Dec 30, 2023 Accepting new patients
Ecker Center for Behavioral Health Psychiatry Current Accepting new patients
Dupage Medical Group LTD Past Accepting new patients
Ecker Center for Behavioral Health Past Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

1845 Grandstand Pl
Elgin, IL 60123

490 W Lake St
Unit 3
Roselle, IL 60172
Phone (630) 550-7252

701 E Irving Park Rd
Ste 106
Roselle, IL 60172
Phone (630) 550-7252

Interoperability endpoints

  • Direct secure messaging: noor.husain.1@23175.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Max Care Home Health Services Inc.Roselle, IL, CCN 148256 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1487836821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST UNIT 3",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723551",
            "telephone_number": "630-989-8559",
            "fax_number": "630-833-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST UNIT 3",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723551",
            "telephone_number": "630-989-8559",
            "fax_number": "630-833-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "NOOR",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036117086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

Verify at the official NPI Registry.