Active NPI
Deina Nemiary, MD
- Psychiatry Physician
- Darien, IL
National Provider Identifier
1851556856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036143525
- Practice address
- 7900 Cass Ave
Darien, IL 60561-5073 - Phone
- (630) 428-7890
- Fax
- (630) 428-7891
- NPI assigned
- Jul 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 66349 | GA | |
| Psychiatry Physician | 2084P0800X | 54409 | CT | |
| Psychiatry Physician | 2084P0800X | 01083492A | IN | |
| Psychiatry Physician | 2084P0800X | 036143525 | IL | Primary |
Addresses
Primary practice location
7900 Cass Ave
Darien, IL 60561-5073
Mailing address
2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone (630) 428-7890
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11560 S Kedzie Ave
Suite 200
Merrionette Park, IL 60803-4517
Phone (312) 986-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54409 | CT | MD | Psychiatry Physician |
| 66349 | GA | MD | Psychiatry Physician |
| 01083492A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Locations
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrionette Park, IL
- NPI 1629283411
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1851556856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 ARTESIAN RD STE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648559",
"telephone_number": "630-428-7890",
"fax_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 CASS AVE",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615073",
"telephone_number": "630-428-7890",
"fax_number": "630-428-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIARY",
"first_name": "DEINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-20",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "66349",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "54409",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01083492A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036143525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.