Individual provider Active NPI

Christina Vera Floreani

  • Psychiatry Physician
  • Lombard, IL
National Provider Identifier
1629363270
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.133797 Issued in IL
Practice address
420 S Ahrens Ave
Lombard, IL 60148-3006
Phone
(773) 916-7595
Fax
(866) 339-5811
NPI assigned
Jun 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 036.133797 IL Primary

Addresses

Primary practice location

420 S Ahrens Ave
Lombard, IL 60148-3006

Mailing address

108 S East Ave
Apt 3
Oak Park, IL 60302-2983
Phone (773) 614-2032

Other practice location 1

403 E 1st St
Dixon, IL 61021-3116
Phone (815) 285-5638

Other practice location 2

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Other identifiers 2

IdentifierTypeStateIssuer
F400392146OtherILMEDICARE
036133797MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133797ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Psychiatry PLLC Psychiatry Current Accepting new patients
In Touch Physicians, LLC Psychiatry PastSince Aug 27, 2014 Accepting new patients
KSB Medical Group, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1629363270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S EAST AVE",
            "address_2": "APT 3",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022983",
            "telephone_number": "773-614-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S AHRENS AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483006",
            "telephone_number": "773-916-7595",
            "fax_number": "866-339-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213116",
            "country_code": "US",
            "telephone_number": "815-285-5638",
            "fax_number": "815-285-5850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOREANI",
        "first_name": "CHRISTINA",
        "middle_name": "VERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-12",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.133797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400392146",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036133797",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.