Active NPI
Patrick J. Ahern, J.D., L.C.S.W., P.C.
- Adult Mental Health Clinic/Center
- St Charles, IL
National Provider Identifier
1871938928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 149-006411
- Legal business name
- PATRICK J. AHERN, J.D., L.C.S.W., P.C.
- Practice address
- 2210 Dean St
Suite O-1
St Charles, IL 60175-1066 - Phone
- (630) 587-6910
- Fax
- (630) 587-4928
- NPI assigned
- May 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick J. Ahern, L.C.S.W.
- Title
- Licensed Clinical Social Worker
- Phone
- (630) 587-6910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 149-006411 | IL | Primary |
Addresses
Primary practice location
2210 Dean St
Suite O-1
St Charles, IL 60175-1066
Mailing address
2210 Dean St
Suite O-1
St Charles, IL 60175-1066
Phone (630) 587-6910
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1871938928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 DEAN ST",
"address_2": "SUITE O-1",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751066",
"telephone_number": "630-587-6910",
"fax_number": "630-587-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST",
"address_2": "SUITE O-1",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751066",
"telephone_number": "630-587-6910",
"fax_number": "630-587-4928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK J. AHERN, J.D., L.C.S.W., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "AHERN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "630-587-6910",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "149-006411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.