Pea Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PEA INC

Doing business as

General Psychiatry Services

Practice address

3845 McCoy Dr
Suite 109
Aurora, IL 60504-4428

Phone

(630) 898-1031

Fax

(630) 898-0984

NPI assigned

Mar 29, 2007

Last updated

Apr 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kishwar Ali, MDNPI 1740385855

Title

President

Phone

(630) 898-1031

Specialties & licenses 1

Addresses

Other names 1

• General Psychiatry Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishwar Ali, M.D.

  • Psychiatry Physician
  • Aurora, IL
  • NPI 1740385855
  Medicare reassignment NPD Authorized official
• Rachel Ann Subramanian, RN

  • Registered Nurse
  • Aurora, IL
  • NPI 1801579180
  NPD
• Shamim A Sufi, M.A , LCSW

  • Clinical Social Worker
  • Joliet, IL
  • NPI 1659408003
  NPD (past)
• Sara Amelia Michelson, PSY.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1881992733
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1831218775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR",
            "address_2": "SUITE 109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044428",
            "telephone_number": "630-898-1031",
            "fax_number": "630-898-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR",
            "address_2": "SUITE 109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044428",
            "telephone_number": "630-898-1031",
            "fax_number": "630-898-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KISHWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-898-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Psychiatry Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Marie Paver, NP-C
• Dana Pavlu, LCSW
• Cynthia Leticia Pavur, FNP-BC
• Aisha Payne
• Sindhu Pazhampally, DPT
• Pearl of Orchard Valley LLC
• Rebecca Pearson, ATC
• Sophia Pearson, PA-C
• Lori Lynn Peck, PHARM.D.
• Pediatric Express Care LTD.

• Psychiatry Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.