Active NPI
BR Psychiatry PLLC
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1629673942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BR PSYCHIATRY PLLC
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (847) 493-3521
- NPI assigned
- Dec 3, 2020
- Last updated
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joao Busnello, MD
- Title
- Owner
- Phone
- (312) 608-6346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
100 E 14TH St Apt 2501
Chicago, IL 60605-3674
Phone (312) 608-6356
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Des Plaines, IL
- NPI 1932433745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1629673942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 14TH ST APT 2501",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053674",
"telephone_number": "312-608-6356",
"fax_number": "312-608-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "847-493-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BR PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-03",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "BUSNELLO",
"authorized_official_first_name": "JOAO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-608-6346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.