Northwest Psychiatry, P.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036.098579 Issued in IL

Legal business name

NORTHWEST PSYCHIATRY, P.C.

Practice address

10 Executive CT
Suite 5
South Barrington, IL 60010-9550

Phone

(224) 655-2487

NPI assigned

May 11, 2015

Last updated

May 11, 2015By 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. Israr Abbasi, M.D.NPI 1518925437

Title

Partner

Phone

(224) 655-2487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Israr A Abbasi, MD

  • Psychiatry Physician
  • Lakewood, NY
  • NPI 1518925437

  Child & Adolescent Psychiatry, IL

  Medicare reassignment Care Compare group NPD Authorized official
• Amber Kazi, M.D.

  • Psychiatry Physician
  • South Barrington, IL
  • NPI 1780847020
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1861870883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE CT",
            "address_2": "SUITE 5",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109550",
            "telephone_number": "224-655-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE CT",
            "address_2": "SUITE 5",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109550",
            "telephone_number": "224-655-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "ISRAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "224-655-2487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036.098579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.