Organization Active NPI

Diya Psychiatry SC

  • Psychiatry Physician
  • Lake Bluff, IL
National Provider Identifier
1891442729
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DIYA PSYCHIATRY SC
Practice address
26 E Scranton Ave Unit 115
Lake Bluff, IL 60044-3204
Phone
(714) 261-8950
NPI assigned
Mar 10, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Martha C Hnatiw
Title
Acct Manager
Phone
(630) 241-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

26 E Scranton Ave Unit 115
Lake Bluff, IL 60044-3204

Mailing address

26 E Scranton Ave Unit 115
Lake Bluff, IL 60044-3204
Phone (714) 261-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220719003686 IL Part B Supplier - Clinic/Group Practice 0345621546 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Bluff, IL

National Provider Directory

National Provider Directory

Locations

26 E Scranton Ave
Unit 115
Lake Bluff, IL 60044
Phone (714) 261-8950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1891442729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E SCRANTON AVE UNIT 115",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443204",
            "telephone_number": "714-261-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E SCRANTON AVE UNIT 115",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443204",
            "telephone_number": "714-261-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYA PSYCHIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-05-31",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "HNATIW",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCT MANAGER",
        "authorized_official_telephone_number": "630-241-1495"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.