James Vincent Dyers Jr., D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.119289 Issued in IL

Practice address

1802 N Division St
Suite 604
Morris, IL 60450-1182

Phone

(815) 941-3882

Fax

(815) 941-3884

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Midwestern University, Chicago College of Osteopathic Med, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Psychiatric Services, MDSCGroup PAC ID 2365858289, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mindful Psychiatric Services, MDSC

  • Psychiatry Physician
  • Morris, IL
  • NPI 1801409974
  Medicare reassignment Care Compare group NPD Authorized official
• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Morris, IL
  • NPI 1427205111
  Medicare reassignment NPD
• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Yorkville, IL
  • NPI 1376247643
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1861679888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST",
            "address_2": "SUITE 604",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST",
            "address_2": "SUITE 604",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYERS",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.119289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danise Louise Dryfhout, APN, FNP-C, RN
• Jessica Duncan, DNP, FNP-BC
• Monica Edem
• Emily Christine Edman, MS, ATC
• Ahmed Mostafa Eldib, MD
• Elevated Life Therapy, PLLC
• Elite Gynecology S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.

Verify at the official NPI Registry.