James L Cavanaugh Jr., MD

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

036043121 Issued in IL

Practice address

300 S Ashland Ave
207
Chicago, IL 60607-2701

Phone

(312) 829-1463

NPI assigned

Aug 9, 2006

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James L Cavanaugh Jr MD & Stephanie Vonammon Cavanaugh MD SC

  • Forensic Psychiatry Physician
  • Chicago, IL
  • NPI 1073523189
  Authorized official Same address or phone

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1629088745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072701",
            "telephone_number": "312-829-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072701",
            "telephone_number": "312-829-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036043121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043121",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "21603687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawanda Renee Causay, M.ED
• Rachel Cavalcante, MSW
• Nicole Cavallo, PSYD
• Robert W Cavanagh, PH.D
• Erin Brigh Cavanaugh, M.D.
• Katherine Cavanaugh, AG-ACNP
• Kevin Patrick Cavanaugh, MD
• Mary Patricia Cavanaugh, M.D.
• Nicholas Cavanaugh, DO
• Amy Louise Cavazos, MAAT, LCPC

• Forensic Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Forensic Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.