Individual provider Active NPI

Arden Davis Barnett Jr., M.D.

  • Psychiatry Physician
  • Gurnee, IL
National Provider Identifier
1891765095
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036072114 Issued in IL
Practice address
200 S Greenleaf St
Ste. a
Gurnee, IL 60031-3398
Phone
(847) 244-5660
Fax
(847) 244-5669
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 01060002A IN
Psychiatry Physician 2084P0800X 036072114 IL Primary

Addresses

Primary practice location

200 S Greenleaf St
Ste. a
Gurnee, IL 60031-3398

Mailing address

PO Box 8927
Belfast, ME 04915-8927
Phone (847) 599-1141

Other identifiers 1

IdentifierTypeStateIssuer
200520270MedicaidIN

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
I20120627000166 IL Practitioner - Psychiatry 5496773525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone (217) 326-1330

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060002AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jul 1, 2012 Accepting new patients
Illinois Department of Human Services Current Accepting new patients
Carle Health Care Incorporated CurrentSince May 17, 2016 Accepting new patients
Illinois Department of Human Services CurrentSince May 8, 2012 Accepting new patients
Waukegan Clinic Corp Current Accepting new patients
Illinois Department of Human Services CurrentSince May 8, 2012 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

1000 N Main St
Anna, IL 62906
Phone (618) 833-5161

809 W Church St
Champaign, IL 61820
Phone (217) 373-1700

1802 S Mattis Ave
Champaign, IL 61821
Phone (217) 365-2855

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

100 S Grand Ave E
Springfield, IL 62762

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1891765095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8927",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158927",
            "telephone_number": "847-599-1141",
            "fax_number": "847-599-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S GREENLEAF ST",
            "address_2": "STE. A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313398",
            "telephone_number": "847-244-5660",
            "fax_number": "847-244-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "ARDEN",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01060002A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036072114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200520270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.