NPIMap

Organization Active NPI

Seth a. Eappen, MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
National Provider Identifier
1639610553
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SETH A. EAPPEN, MD PLLC
Practice address
600 Enterprise Dr Ste 220
Oak Brook, IL 60523
Phone
(844) 632-7736
Fax
(888) 972-3621
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Seth Eappen, M.D.NPI 1386905669
Title
Owner
Phone
(844) 632-7736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

600 Enterprise Dr Ste 220
Oak Brook, IL 60523

Mailing address

600 Enterprise Dr Ste 220
Oak Brook, IL 60523-4202
Phone (844) 632-7736

Other practice location 1

5209 Hohman Ave
Hammond, IN 46320-1719
Phone (844) 632-7736

Other practice location 2

1431 N Claremont Ave Fl 2
Chicago, IL 60622-1702
Phone (844) 632-7736

Other practice location 3

5209 Hohman Ave
Hammond, IN 46320-1719
Phone (844) 632-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726002305 IL Part B Supplier - Clinic/Group Practice 6002184264 Receives reassigned benefits from 6 practitioners
Practice locations: Orland Park, IL; Chicago, IL; Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

600 Enterprise Dr
Ste 220
Oak Brook, IL 60523
Phone (844) 632-7736

62 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (708) 349-5433

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1639610553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 220",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234202",
            "telephone_number": "844-632-7736",
            "fax_number": "888-972-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 220",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "844-632-7736",
            "fax_number": "888-972-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5209 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201719",
            "country_code": "US",
            "telephone_number": "844-632-7736",
            "fax_number": "888-972-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 N Claremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221702",
            "country_code": "US",
            "telephone_number": "844-632-7736",
            "fax_number": "888-972-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5209 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201719",
            "country_code": "US",
            "telephone_number": "844-632-7736",
            "fax_number": "888-972-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SETH A. EAPPEN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "EAPPEN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-632-7736",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.