Active NPI
Neuro-Psych Technologies, LTD.
- Psychiatry Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-003570
- Legal business name
- NEURO-PSYCH TECHNOLOGIES, LTD.
- Practice address
- 4711 Golf Rd
Suite 1200
Skokie, IL 60076-1224 - Phone
- (847) 446-7911
- Fax
- (847) 386-6239
- NPI assigned
- Sep 12, 2005
- 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
- Dr. David George Bawden, M.D.
- Title
- President
- Phone
- (847) 446-7911
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-003570 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd
Suite 1200
Skokie, IL 60076-1224
Mailing address
PO Box 8159
Northfield, IL 60093-8159
Phone (847) 446-7911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260039385 | Other | IL | RAIL ROAD RETIREMENT |
| 2160834332 | Other | IL | BLUE CROSS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5000 Lincoln Ave
Lisle, IL 60532
Phone (630) 852-5100
2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000
3705 Deerfield Rd
#N
Riverwoods, IL 60015
Phone (847) 947-9000
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": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262476800000",
"number": "1932193455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8159",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600938159",
"telephone_number": "847-446-7911",
"fax_number": "847-386-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 1200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-446-7911",
"fax_number": "847-386-6239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO-PSYCH TECHNOLOGIES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2010-01-03",
"status": "A",
"authorized_official_last_name": "BAWDEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-446-7911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "042-003570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD RETIREMENT",
"identifier": "260039385",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "2160834332",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; 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.