Thanh Son Thai, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036123833 Issued in IL

Practice address

137 N Oak Park Ave Ste 209
Oak Park, IL 60301-1340

Phone

(872) 216-2227

Fax

(872) 228-8006

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment NPD
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  • General Acute Care Hospital
  • Effingham, IL
  • NPI 1306800602
  Medicare reassignment NPD
• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1669488029

  Psychiatry

  Medicare reassignment NPD
• Cook County

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1821385170

  Psychiatry

  NPD
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD
• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westmont, IL
  • NPI 1083590996
  NPD
• Midwest Neuropsychiatric Assoc LTD

  • Specialist
  • Chicago, IL
  • NPI 1003949793
  NPD (past)
• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gurnee, IL
  • NPI 1306292248
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1679739148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011340",
            "telephone_number": "872-216-2227",
            "fax_number": "872-228-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011340",
            "telephone_number": "872-216-2227",
            "fax_number": "872-228-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "THANH",
        "middle_name": "SON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036123833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123833",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL3952004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan R Terrell, LCSW
• Kari Terrill, PSYD
• Hannah M Terrinoni
• Saterae Terry, MS
• Tessa'S Place, PLLC
• Cora Jane Thaxton
• The Eyeglass Shop, Inc.
• The Eyeglass Store Inc
• The Maye Center LLC
• The Thresholds

• Psychiatry Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.