Active NPI
Meh Jabeen Hussain, MD
- Child & Adolescent Psychiatry Physician
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036098990
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098990 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036098990 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Department of Human Services | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Uhs of Hartgrove, Inc. | Psychiatry | Current | Accepting new patients |
| Uhs of Hartgrove, Inc | Psychiatry | Current | Accepting new patients |
| BHC Streamwood Hospital Inc. | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Summit Center for Mental Health Inc | Child & Adolescent Psychiatry | Past | 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.
-
dba Streamwood Behavioral Health Center
- Psychiatric Hospital
- Streamwood, IL
- NPI 1619916822
-
- Intellectual Disabilities Intermediate Care Facility
- Centralia, IL
- NPI 1003960394
-
- Psychiatric Hospital
- Chester, IL
- NPI 1306834726
-
dba John J Madden Mental Health
- Psychiatric Hospital
- Hines, IL
- NPI 1902903487
-
dba UHS of Hartgrove-Chatham Counseling Center
- Child & Adolescent Psychiatry Physician
- Chicago, IL
- NPI 1538560339
-
- Child & Adolescent Psychiatry Physician
- Bartlett, IL
- NPI 1932280617
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1841460391
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1992767032
-
- Professional Counselor
- Joliet, IL
- NPI 1548274863
Child & Adolescent Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.