Isaac Ray Center at Cermak

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

071.007792 Issued in IL

Legal business name

ISAAC RAY CENTER AT CERMAK

Practice address

3159 N Seminary #301
Chicago, IL 60657

Phone

(248) 765-7127

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 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. Kelly Lynn Kushnereit, PSYD

Title

Psychologist

Phone

(248) 765-7127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1669704326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 N SEMINARY AVE APT 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573357",
            "telephone_number": "248-765-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 N SEMINARY #301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "248-765-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC RAY CENTER AT CERMAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "KUSHNEREIT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-765-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "071.007792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Smith Irwin, CRNA
• Tracy E. Irwin, M.D.
• Fadi Isa Isa, DPM
• Mariam Isa, PHARMD
• Isaac Pohlman LLC
• Andre Isaac, M.D.
• Barrie Isaac, LSW
• Christine Isaac
• Jodi Isaac
• Vincent Paul Isaac, DPT

• Psychiatric Hospital Unit in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.