NPIMap

Organization Active NPI

Spectrum Private Client

  • Child & Adolescent Psychiatry Physician
  • Hinsdale, IL
National Provider Identifier
1659086809
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SPECTRUM PRIVATE CLIENT
Practice address
201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776
Phone
(630) 270-7717
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM BAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Sheila Moffett
Title
Office Administrator
Phone
(773) 316-2317

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776

Mailing address

201 E Ogden Ave Ste 118
Hinsdale, IL 60521-3776
Phone (630) 270-7717

National Provider Directory

National Provider Directory
Part of
Spectrum Private Client

Locations

201 E Ogden Ave
Ste 118
Hinsdale, IL 60521
Phone (630) 270-7717

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1659086809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 118",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213776",
            "telephone_number": "630-270-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 118",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213776",
            "telephone_number": "630-270-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PRIVATE CLIENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM BA",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-316-2317"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.