Individual provider Active NPI

Jeffrey S Chalfant, DO

  • Psychiatry Physician
  • Belleville, IL
National Provider Identifier
1811935166
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-107101 Issued in IL
Practice address
2900 Frank Scott Pkwy W
Suite 990
Belleville, IL 62223-5000
Phone
(618) 236-6501
Fax
(618) 236-6551
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-107101 IL Primary

Addresses

Primary practice location

2900 Frank Scott Pkwy W
Suite 990
Belleville, IL 62223-5000

Mailing address

2900 Frank Scott Pkwy W
Suite 990
Belleville, IL 62223-5000
Phone (618) 236-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000449 IL Practitioner - Psychiatry 9133136641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services of Southern Illinois LLCGroup PAC ID 4082747597, 2 clinicians

Practice addresses (Care Compare)

2900 Frank Scott Pkwy W
Suite 99
Belleville, IL 62223-5000
Phone (618) 236-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-107101ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Hospital District Current Accepting new patients
Franklin Hospital District CurrentSince Jan 22, 2024 Accepting new patients
Franklin Hospital District CurrentSince Jan 22, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Jan 15, 2009 Accepting new patients
Psychiatric Services of Southern Illinois, LLC Psychiatry CurrentSince Jul 8, 2010 Accepting new patients
Washington County Vocational Workshop Past Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 990
Belleville, IL 62223
Phone (618) 236-6501

2900 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 234-9200

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

4200 Williamson Pl
Mount Vernon, IL 62864
Phone (618) 242-7819

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1811935166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 990",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-236-6501",
            "fax_number": "618-236-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 990",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-236-6501",
            "fax_number": "618-236-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALFANT",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-107101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.