Active NPI
Arden Davis Barnett Jr., M.D.
- Psychiatry Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036072114
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200520270 | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Incorporated
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060002A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | 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
- 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.
-
- Intellectual Disabilities Intermediate Care Facility
- Centralia, IL
- NPI 1003960394
IL
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1235452996
-
- Psychiatric Hospital
- Springfield, IL
- NPI 1467430124
-
- Psychiatric Hospital
- Hines, IL
- NPI 1902903487
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.