Organization Active NPI

Charter Mental Care, S.C.

  • Child & Adolescent Psychiatry Physician
  • Bartlett, IL
National Provider Identifier
1932280617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CHARTER MENTAL CARE, S.C.
Practice address
956 S Bartlett Rd
#116
Bartlett, IL 60103-6500
Phone
(630) 835-9954
Fax
(630) 830-7284
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jabeen Hussain, M.D.
Title
President
Phone
(630) 835-9954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X IL Primary

Addresses

Primary practice location

956 S Bartlett Rd
#116
Bartlett, IL 60103-6500

Mailing address

956 S Bartlett Rd
#116
Bartlett, IL 60103-6500
Phone (630) 835-9954

National Provider Directory

National Provider Directory

Locations

956 S Bartlett Rd
Bartlett, IL 60103
Phone (630) 291-4185

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932280617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 S BARTLETT RD",
            "address_2": "#116",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036500",
            "telephone_number": "630-835-9954",
            "fax_number": "630-830-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 S BARTLETT RD",
            "address_2": "#116",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036500",
            "telephone_number": "630-835-9954",
            "fax_number": "630-830-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER MENTAL CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JABEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-835-9954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.