Organization Active NPI

Maher Psychiatric Group, LTD.

  • Mental Health Counselor
  • Springfield, IL
National Provider Identifier
1700048568
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAHER PSYCHIATRIC GROUP, LTD.
Practice address
3000 Professional Dr
Suite a
Springfield, IL 62703-5931
Phone
(217) 793-9593
Fax
(217) 793-6949
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Chauncey C Maher III, M.D.
Title
President of Corp
Phone
(217) 793-9593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X IL Primary

Addresses

Primary practice location

3000 Professional Dr
Suite a
Springfield, IL 62703-5931

Mailing address

3000 Professional Dr
Suite a
Springfield, IL 62703
Phone (217) 793-9593

Other names 1

  • Maher Psychiatric Group,Ltd. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1700048568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PROFESSIONAL DR",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-793-9593",
            "fax_number": "217-793-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PROFESSIONAL DR",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035931",
            "telephone_number": "217-793-9593",
            "fax_number": "217-793-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER PSYCHIATRIC GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "217-793-9593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maher Psychiatric Group,Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.