NPIMap

Organization Active NPI

David Kushner DO PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
National Provider Identifier
1861938359
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAVID KUSHNER DO PC
Practice address
333 Skokie Blvd
Suite 112
Northbrook, IL 60062-1613
Phone
(224) 205-7866
Fax
(224) 205-7865
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Philip Atteberry
Title
Ceo
Phone
(224) 205-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

333 Skokie Blvd
Suite 112
Northbrook, IL 60062-1613

Mailing address

333 Skokie Blvd
Suite 112
Northbrook, IL 60062-1613
Phone (224) 205-7866

Other names 4

  • Aspire Wellness Doing business as
  • Brightside Clinic Doing business as
  • Kenji Oyasu MD PC Former legal business name
  • Kenneth P Wind MD PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
David Kushner DO PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1861938359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD",
            "address_2": "SUITE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621613",
            "telephone_number": "224-205-7866",
            "fax_number": "224-205-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD",
            "address_2": "SUITE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621613",
            "telephone_number": "224-205-7866",
            "fax_number": "224-205-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KUSHNER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "ATTEBERRY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-205-7868"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightside Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightside Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenji Oyasu MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kenneth P Wind MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.