Individual provider Active NPI

Joanne Gail Parks, M.D.

  • Psychiatry Physician
  • Barrington, IL
National Provider Identifier
1619019148
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036086270 Issued in IL
Practice address
26400 W Falkirk Cir
Barrington, IL 60010-2865
Phone
(847) 542-9780
Fax
(224) 655-2910
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 036086270 IL Primary

Addresses

Primary practice location

26400 W Falkirk Cir
Barrington, IL 60010-2865

Mailing address

26400 W Falkirk Cir
Barrington, IL 60010-2865
Phone (847) 542-9780

Other identifiers 2

IdentifierTypeStateIssuer
364030461OtherILFEIN
0490572803OtherILBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080329000060 IL Practitioner - PsychiatryPractitioner - Addiction Medicine 3375629447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main St Psychiatry SCGroup PAC ID 0648535013, 2 clinicians

Practice addresses (Care Compare)

10 W Main St
Suite 101
Cary, IL 60013-2868
Phone (815) 526-3781

26400 W Falkirk Cir
Barrington, IL 60010-2865
Phone (815) 526-3781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086270ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main St. Psychiatry, S.C. Psychiatry CurrentSince Dec 6, 2017 Accepting new patients

Locations

10 W Main St
Ste 101
Cary, IL 60013
Phone (815) 526-3781

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1619019148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W FALKIRK CIR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102865",
            "telephone_number": "847-542-9780",
            "fax_number": "224-655-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W FALKIRK CIR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102865",
            "telephone_number": "847-542-9780",
            "fax_number": "224-655-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JOANNE",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036086270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "364030461",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0490572803",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.