Active NPI
Kalayil Psychiatry LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1902555840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KALAYIL PSYCHIATRY LLC
- Practice address
- 3660 N Lake Shore Dr Ste 210
Chicago, IL 60613-5302 - Phone
- (312) 340-4523
- NPI assigned
- Mar 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajit Thomas Kalayil
- Title
- Owner
- Phone
- (312) 340-4523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3660 N Lake Shore Dr Ste 210
Chicago, IL 60613-5302
Mailing address
3660 N Lake Shore Dr Ste 210
Chicago, IL 60613-5302
Phone (312) 340-4523
National Provider Directory
National Provider DirectoryLocations
3660 N Lake Shore Dr
Ste 210
Chicago, IL 60613
Phone (312) 340-4523
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1598412884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647648000000",
"number": "1902555840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135302",
"telephone_number": "312-340-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135302",
"telephone_number": "312-340-4523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALAYIL PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-19",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A",
"authorized_official_last_name": "KALAYIL",
"authorized_official_first_name": "AJIT",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-340-4523"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.