Individual provider Active NPI

Meh Jabeen Hussain, MD

  • Child & Adolescent Psychiatry Physician
  • St Charles, IL
National Provider Identifier
1881685071
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036098990 Issued in IL
Practice address
902 S Randall Rd
C187
St Charles, IL 60174-1554
Phone
(630) 835-9954
Fax
(630) 377-3705
NPI assigned
Nov 4, 2005
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036098990 IL
Child & Adolescent Psychiatry Physician 2084P0804X 036098990 IL Primary

Addresses

Primary practice location

902 S Randall Rd
C187
St Charles, IL 60174-1554

Mailing address

902 S Randall Rd
C187
St Charles, IL 60174-1554
Phone (630) 835-9954

Other identifiers 1

IdentifierTypeStateIssuer
036098990MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000415 IL Practitioner - Psychiatry 0941106918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Hartgrove, IncGroup PAC ID 3173611738, 15 clinicians

Practice addresses (Care Compare)

5730 W Roosevelt Rd
Hartgrove Hospital
Chicago, IL 60644-1580
Phone (773) 413-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036098990ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current Accepting new patients
Illinois Department of Human Services CurrentSince Nov 19, 2020 Accepting new patients
Uhs of Hartgrove, Inc. Psychiatry CurrentSince Jan 16, 2016 Accepting new patients
Uhs of Hartgrove, Inc Psychiatry CurrentSince Jan 16, 2016 Accepting new patients
BHC Streamwood Hospital Inc. CurrentSince Feb 2, 2019 Accepting new patients
Illinois Department of Human Services CurrentSince Nov 19, 2020 Accepting new patients
Summit Center for Mental Health Inc Child & Adolescent Psychiatry PastSince Jul 1, 2015 Accepting new patients
Metropolitan Family Services Past Accepting new patients
Charter Mental Care, S.C. Child & Adolescent Psychiatry Past Accepting new patients
Metropolitan Family Services Past Accepting new patients

Locations

1315 Lehmen Dr
Chester, IL 62233
Phone (618) 826-4571

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

5730 W Roosevelt Rd
Ofc
Chicago, IL 60644

100 S Grand Ave E
Springfield, IL 62762

1360 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 540-3900

1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1881685071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S RANDALL RD",
            "address_2": "C187",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741554",
            "telephone_number": "630-835-9954",
            "fax_number": "630-377-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S RANDALL RD",
            "address_2": "C187",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741554",
            "telephone_number": "630-835-9954",
            "fax_number": "630-377-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MEH JABEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036098990",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036098990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.