Active NPI
Ki Psychiatry
Doing business as Ki Psych
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elgin, IL
National Provider Identifier
1801534755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KI PSYCHIATRY
- Doing business as
- Ki Psych
- Practice address
- 1990 Larkin Ave Ste 3
Elgin, IL 60123-5827 - Phone
- (630) 201-1533
- Fax
- (636) 764-5997
- NPI assigned
- May 21, 2022
- 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
- Mrs. Cheryl Ischar, PMHNP-BC
- Title
- Ceo/Founder
- Phone
- (630) 201-1533
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1990 Larkin Ave Ste 3
Elgin, IL 60123-5827
Mailing address
1990 Larkin Ave # C3
Elgin, IL 60123-5827
Phone (630) 528-0736
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801434733 | Other | IL | PHYSICIAN SERVICES |
| 1801434733 | Other | IL | COMMERCIAL INSURANCE |
| 1801434733 | Other | IL | NURSE PRACTITIONER SERVICES |
| 1801434733 | Other | IL | HEALTHY KIDS SERVICES |
| 1801434733 | Medicaid | IL |
Other names 1
- Ki Psych
National Provider Directory
National Provider DirectoryLocations
265 Stonegate Rd
Ste 102
Algonquin, IL 60102
Phone (224) 232-7482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1801534755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 LARKIN AVE # C3",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235827",
"telephone_number": "630-528-0736",
"fax_number": "636-764-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 LARKIN AVE STE 3",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235827",
"telephone_number": "630-201-1533",
"fax_number": "636-764-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KI PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-21",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "ISCHAR",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "630-201-1533",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN SERVICES",
"identifier": "1801434733",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1801434733",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER SERVICES",
"identifier": "1801434733",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY KIDS SERVICES",
"identifier": "1801434733",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801434733",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ki Psych",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ki Psych",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.