Active NPI
Psychiatry Specialists P.C.
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1730468307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PSYCHIATRY SPECIALISTS P.C.
- Practice address
- 4535 N Beacon St
Chicago, IL 60640-5518 - Phone
- (773) 629-0716
- NPI assigned
- Aug 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Cloyd
- Title
- Secretary
- Phone
- (904) 605-4986
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
4535 N Beacon St
Chicago, IL 60640-5518
Mailing address
4535 N Beacon St
Chicago, IL 60640-5518
Phone (773) 629-0716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700042454 | Other | IL | NPI 1700042454 |
National Provider Directory
National Provider DirectoryLocations
4753 N Broadway St
Ste 925
Chicago, IL 60640
Phone (773) 989-2780
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1114406477
-
- Clinical Social Worker
- Chicago, IL
- NPI 1801321542
-
- Professional Counselor
- Chicago, IL
- NPI 1659828879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1730468307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 N BEACON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405518",
"telephone_number": "773-629-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 N BEACON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405518",
"telephone_number": "773-629-0716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRY SPECIALISTS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-12",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "CLOYD",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "904-605-4986"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1700042454",
"identifier": "1700042454",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.