NPIMap

Organization Active NPI

Dynamic Psychiatry LLC

  • Psychiatry Physician
  • Dekalb, IL
National Provider Identifier
1861779084
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DYNAMIC PSYCHIATRY LLC
Practice address
147 N 2ND St
Suite #7
Dekalb, IL 60115-3276
Phone
(815) 217-0155
Fax
(815) 217-0185
NPI assigned
Nov 16, 2011
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Ramon Marquez, MDNPI 1689763419
Title
Owner
Phone
(815) 217-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

147 N 2ND St
Suite #7
Dekalb, IL 60115-3276

Mailing address

147 N 2ND St
Suite #7
Dekalb, IL 60115-3276
Phone (815) 217-0155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1861779084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N 2ND ST",
            "address_2": "SUITE #7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153276",
            "telephone_number": "815-217-0155",
            "fax_number": "815-217-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N 2ND ST",
            "address_2": "SUITE #7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153276",
            "telephone_number": "815-217-0155",
            "fax_number": "815-217-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-217-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.