Organization Active NPI

Sarah R Florence, MD, P.C.

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1760852255
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036131999 Issued in IL
Legal business name
SARAH R FLORENCE, MD, P.C.
Practice address
645 N Michigan Ave
Suite 820
Chicago, IL 60611-2826
Phone
(773) 609-3691
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Sarah R Florence, MD
Title
Psychiatrist
Phone
(773) 609-3691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 036131999 IL Primary

Addresses

Primary practice location

645 N Michigan Ave
Suite 820
Chicago, IL 60611-2826

Mailing address

645 N Michigan Ave
Suite 820
Chicago, IL 60611-2826

Other identifiers 1

IdentifierTypeStateIssuer
1225359870OtherILCMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1760852255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE",
            "address_2": "SUITE 820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE",
            "address_2": "SUITE 820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112826",
            "telephone_number": "773-609-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH R FLORENCE, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "773-609-3691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036131999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1225359870",
            "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 Sep 28, 2015; 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.