American Holistic Psychiatry SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-096828 Issued in IL

Legal business name

AMERICAN HOLISTIC PSYCHIATRY SC

Practice address

1857 W Diversey Pkwy
201
Chicago, IL 60614-9234

Phone

(630) 290-2079

Fax

(773) 857-1837

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Javed, M.D.

Title

President

Phone

(630) 290-2079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1629392279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 W DIVERSEY PKWY",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149234",
            "telephone_number": "630-290-2079",
            "fax_number": "773-857-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 W DIVERSEY PKWY",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149234",
            "telephone_number": "630-290-2079",
            "fax_number": "773-857-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOLISTIC PSYCHIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-290-2079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-096828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.