Partners in Psychiatry LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071002189 Issued in IL

Legal business name

PARTNERS IN PSYCHIATRY LTD

Practice address

484 Lee St
Des Plaines, IL 60016-4610

Phone

(630) 241-1495

Fax

(630) 241-1543

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

William Schaefer, PHD

Title

Owner

Phone

(630) 241-1495

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1588749899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164610",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164610",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PSYCHIATRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-241-1495",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071002189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071002189",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.