Active NPI
Joanne Gail Parks, M.D.
- Psychiatry Physician
- Barrington, IL
National Provider Identifier
1619019148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036086270
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364030461 | Other | IL | FEIN |
| 0490572803 | Other | IL | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080329000060 | IL | Practitioner - Psychiatry | 3375629447 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Main St Psychiatry SC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036086270 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main St. Psychiatry, S.C. | Psychiatry | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.