Organization Active NPI

Ki Psychiatry

Doing business as Ki Psych

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elgin, IL
National Provider Identifier
1801534755
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on May 30, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1801434733OtherILPHYSICIAN SERVICES
1801434733OtherILCOMMERCIAL INSURANCE
1801434733OtherILNURSE PRACTITIONER SERVICES
1801434733OtherILHEALTHY KIDS SERVICES
1801434733MedicaidIL

Other names 1

  • Ki Psych Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.