Psychiatric Consultants, LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036049754 Issued in IL

Legal business name

PSYCHIATRIC CONSULTANTS, LTD

Practice address

110 E. Main St
Ste 326
Ottawa, IL 61350-2900

Phone

(815) 434-6511

Fax

(815) 434-7151

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph W Chuprevich, D.O.NPI 1942313804

Title

Owner

Phone

(815) 434-6511

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Joseph W Chuprevich, D.O.

  • Psychiatry Physician
  • Ottawa, IL
  • NPI 1942313804
  Authorized official Same address or phone

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1548591571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "address_2": "STE #326 PSYCHIATRIC CONSULTANTS, LTD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502900",
            "telephone_number": "815-434-6511",
            "fax_number": "815-434-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. MAIN ST",
            "address_2": "STE 326",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502900",
            "telephone_number": "815-434-6511",
            "fax_number": "815-434-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "CHUPREVICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-434-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036049754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049754",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Illinois
• Pleasant View Luther Home, Inc
• Marshall Polakoff, PSYD
• Jenna Porter, MS, OTR/L
• Alexis Pries, DT
• Stacy L Purcell, P.A.
• Ashley Pyle, PTA
• Damon Joseph Quest, PT, DPT
• Kelly Quon, PHARMD
• Radiation Oncology of Northern Illinois LLC

• Psychiatry Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.