Active NPI
Raymond Bryant, NP
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.017627
- Practice address
- 850 W Irving Park Rd
Chicago, IL 60613-3077 - Phone
- (312) 888-2986
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.017627 | IL | Primary |
Addresses
Primary practice location
850 W Irving Park Rd
Chicago, IL 60613-3077
Mailing address
4050 Healthway Dr Ste 140
Aurora, IL 60504-8184
Phone (630) 549-5429
Other practice location 1
2081 Calistoga Dr Ste 2S
New Lenox, IL 60451-4833
Phone (815) 418-6070
Other practice location 2
4050 Healthway Dr Ste 140
Aurora, IL 60504-8184
Phone (630) 549-5429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018001305 | Other | IL | ANCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1004 Pawlak Pkwy
New Lenox, IL 60451-9401
Phone (844) 580-5000
4050 Healthway Dr
Suite 140
Aurora, IL 60504-8184
Phone (815) 409-5117
555 Wilson LN
Des Plaines, IL 60016-4729
Phone (248) 699-7850
Hospital & facility affiliations
- Loretto Hospital
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017627 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2014 Health, LLC | Current | Accepting new patients | |
| Tabs Behavioral Health Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Ranganathan T LTD | Current | Accepting new patients | |
| Metropolitan Behavioral Associates, Inc. | Current | Accepting new patients | |
| Mindwell Inc | Current | Accepting new patients | |
| MD Medical, LLC | Current | Accepting new patients | |
| Silver Oaks Behavioral, LLC | Current | Accepting new patients | |
| Connections Medical Group Associates LLC | Past | Accepting new patients |
Locations
4050 Healthway Dr
Ste 140
Aurora, IL 60504
Phone (630) 318-3355
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565
1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300
915 Harger Rd
Ste 101
Oak Brook, IL 60523
Phone (708) 328-3225
Interoperability endpoints
- rbryant259226@uchospital.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Plainfield, IL
- NPI 1518585942
-
- Psychiatry Physician
- Desplaines, IL
- NPI 1396385415
-
- Psychiatric Hospital
- New Lenox, IL
- NPI 1376020479
-
- Psychiatric Hospital
- Des Plaines, IL
- NPI 1083021877
-
- Psychiatry Physician
- Chicago, IL
- NPI 1467754911
-
- Psychiatry Physician
- Chicago, IL
- NPI 1376039263
-
- Psychiatry Physician
- Chicago, IL
- NPI 1396281838
-
- Child & Adolescent Psychiatry Physician
- New Lenox, IL
- NPI 1548697618
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1447280284
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1609354133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 HEALTHWAY DR STE 140",
"city": "AURORA",
"state": "IL",
"postal_code": "605048184",
"telephone_number": "630-549-5429",
"fax_number": "773-912-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133077",
"telephone_number": "312-888-2986"
}
],
"practiceLocations": [
{
"address_1": "2081 Calistoga Dr Ste 2S",
"address_purpose": "LOCATION",
"city": "New Lenox",
"state": "IL",
"postal_code": "604514833",
"country_code": "US",
"telephone_number": "815-418-6070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Healthway Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605048184",
"country_code": "US",
"telephone_number": "630-549-5429",
"fax_number": "773-912-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "RAYMOND",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.017627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2018001305",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.