Organization Active NPI

Chicago Functional Psychiatry

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1871072090
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.086662 Issued in IL
Legal business name
CHICAGO FUNCTIONAL PSYCHIATRY
Practice address
111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900
Phone
(773) 407-5876
Fax
(888) 275-5457
NPI assigned
Aug 8, 2018
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Dr. Victoria Nee, MD
Title
President
Phone
(773) 407-5876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.086662 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900

Mailing address

111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900
Phone (773) 407-5876

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1202
Chicago, IL 60602
Phone (312) 315-0609

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1871072090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE SUITE 1202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021900",
            "telephone_number": "773-407-5876",
            "fax_number": "888-275-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE SUITE 1202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021900",
            "telephone_number": "773-407-5876",
            "fax_number": "888-275-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FUNCTIONAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "NEE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-407-5876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.086662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.