Organization Active NPI

Deborah Reed MD SC

  • Adult Mental Health Clinic/Center
  • Lake Forest, IL
National Provider Identifier
1902102882
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
036069293 Issued in IL
Legal business name
DEBORAH REED MD SC
Practice address
1 Westminster Street
Suite 104
Lake Forest, IL 60045-2774
Phone
(847) 295-4248
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Deborah Reed, MDNPI 1275635757
Title
President
Phone
(847) 295-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 036069293 IL Primary

Addresses

Primary practice location

1 Westminster Street
Suite 104
Lake Forest, IL 60045-2774

Mailing address

1 Westminster Street
Suite 104
Lake Forest, IL 60045-2774
Phone (847) 295-4248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000432 IL Part B Supplier - Clinic/Group Practice 0042495541 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, IL

National Provider Directory

National Provider Directory

Locations

1 Westminster Pl
Ste 104
Lake Forest, IL 60045
Phone (847) 295-4248

1 Westminster Pl
Ste 100
Lake Forest, IL 60045
Phone (847) 295-4248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1902102882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTMINSTER STREET",
            "address_2": "SUITE 104",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452774",
            "telephone_number": "847-295-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTMINSTER STREET",
            "address_2": "SUITE 104",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452774",
            "telephone_number": "847-295-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH REED MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-295-4248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036069293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.