Organization Active NPI

Searcy Pediatric and Adolescent Behavioral Healthcare, LLC

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
National Provider Identifier
1669083002
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
SEARCY PEDIATRIC AND ADOLESCENT BEHAVIORAL HEALTHCARE, LLC
Practice address
1 E Erie St Ste 525
Chicago, IL 60611-2980
Phone
(312) 471-3758
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dr. Jasmin S. Searcy, PH.D.NPI 1477920981
Title
Child/Pediatric Psychologist
Phone
(601) 454-2082

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

1 E Erie St Ste 525
Chicago, IL 60611-2980

Mailing address

1910 S Indiana Ave Apt 219
Chicago, IL 60616-2915
Phone (601) 454-2082

Other names 1

  • Searcy Pediatric and Adolescent Behavioral Healthcare, LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.searcypediatrics.org Direct
CONNECT URL www.searcypediatrics.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1669083002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S INDIANA AVE APT 219",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162915",
            "telephone_number": "601-454-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "312-471-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARCY PEDIATRIC AND ADOLESCENT BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SEARCY",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHILD/PEDIATRIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "601-454-2082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.searcypediatrics.org",
            "affiliation": "N",
            "endpointDescription": "www.searcypediatrics.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.searcypediatrics.org",
            "address_1": "1 E Erie St Ste 525",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.searcypediatrics.org",
            "affiliation": "N",
            "endpointDescription": "ww.searcypediatrics.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.searcypediatrics.org",
            "address_1": "1 E Erie St Ste 525",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Searcy Pediatric and Adolescent Behavioral Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2020; 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.