NPIMap

Organization Active NPI

Iatreia Mental Health SC

  • Substance Abuse Rehabilitation Facility
  • Joliet, IL
National Provider Identifier
1740975200
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IATREIA MENTAL HEALTH SC
Practice address
1225 Richards St
Joliet, IL 60433-2745
Phone
(312) 554-5431
NPI assigned
Apr 10, 2023
Organization subpart
Yes
Parent organization
IATREIA MENTAL HEALTH SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Bikram Sharma, MDNPI 1063891232
Title
President
Phone
(312) 554-5431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1225 Richards St
Joliet, IL 60433-2745

Mailing address

PO Box 9412
Naperville, IL 60567-0412

Other practice location 1

2319 Manhattan Rd
Joliet, IL 60433-8605
Phone (312) 554-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000709 IL Part B Supplier - Clinic/Group Practice 2062886179 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Joliet, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Iatreia Mental Health SC3 organizations share this tax ID, including this one
Part of
Iatreia Mental Health SC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2319 Manhattan Rd
Joliet, IL 60433
Phone (708) 223-2698

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1740975200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9412",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605670412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 RICHARDS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332745",
            "telephone_number": "312-554-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Manhattan Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604338605",
            "country_code": "US",
            "telephone_number": "312-554-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IATREIA MENTAL HEALTH SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IATREIA MENTAL HEALTH SC",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "BIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-554-5431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.