Individual provider Active NPI

Monica Salvador King, MD

  • Psychiatry Physician
  • Park Ridge, IL
National Provider Identifier
1700813045
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036096193 Issued in IL
Practice address
2604 Dempster St Ste 307
Park Ridge, IL 60068-8427
Phone
(847) 299-9742
Fax
(847) 299-8620
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036096193 IL Primary

Addresses

Primary practice location

2604 Dempster St Ste 307
Park Ridge, IL 60068-8427

Mailing address

2604 Dempster St Ste 307
Park Ridge, IL 60068-8427
Phone (847) 299-9742

Other identifiers 2

IdentifierTypeStateIssuer
01625371OtherILBLUE CROSS BLUE SHIELD
036096193MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080822000524 IL Practitioner - Psychiatry 4385719582 Practice locations: Park Ridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2604 Dempster St
Suite 307
Park Ridge, IL 60068-8427
Phone (847) 299-9742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Psych Associates SC Psychiatry CurrentSince Oct 29, 2023 Accepting new patients
Smith Psychotherapy Associates, S.C. Past Accepting new patients
Rosewatter Chicagoland Counseling PLLC Past Accepting new patients

Locations

2604 W Dempster St
Ste 307
Park Ridge, IL 60068
Phone (847) 299-9742

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1700813045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688427",
            "telephone_number": "847-299-9742",
            "fax_number": "847-299-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688427",
            "telephone_number": "847-299-9742",
            "fax_number": "847-299-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR KING",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036096193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01625371",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096193",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.