Individual provider Active NPI

Valerie King-Ernst, DO

  • Psychiatry Physician
  • Harvey, IL
National Provider Identifier
1952311565
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-116097 Issued in IL
Practice address
31 W 155TH St
Harvey, IL 60426-3556
Phone
(708) 596-5177
Fax
(708) 596-5518
NPI assigned
Aug 8, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS021748P PA
Psychiatry Physician 2084P0800X 036-116097 IL Primary

Addresses

Primary practice location

31 W 155TH St
Harvey, IL 60426-3556

Mailing address

3333 Warrenville Rd
Suite 200
Lisle, IL 60532-1157
Phone (630) 962-4457

Other practice location 1

2821 Island Ave Fl 1
Philadelphia, PA 19153-2300
Phone (215) 596-8100

Other practice location 2

3333 Warrenville Rd Ste 200
Lisle, IL 60532-1999
Phone (630) 962-4457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060908000354 IL Practitioner - Psychiatry 6305840158 Reassigns benefits to 2 organizations
I20220309000817 PA Practitioner - Psychiatry 6305840158 Reassigns benefits to 2 organizations
I20240813002502 NY Practitioner - Psychiatry 6305840158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-116097ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Christian Health Center CurrentSince Feb 1, 2021 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Aug 12, 2024 Accepting new patients
Family Christian Health Center Current Accepting new patients
West Phila Community Mental Health Consortium, Inc. Psychiatry Current Accepting new patients
West Philadelphia Community MH Consortium Inc. CurrentSince Jan 31, 2022 Accepting new patients
Family Christian Health Center CurrentSince Feb 1, 2021 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 12, 2024 Accepting new patients
West Phila Community Mental Health Consortium, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Conventions Psychiatry & Counseling, P.C. Psychiatry Past Accepting new patients
Preventative Mental Healthcare Services Past Accepting new patients
Synergos P.C. Psychiatry Past Accepting new patients

Locations

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346

19767 Torrence Ave
Lynwood, IL 60411
Phone (708) 596-5177

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

2821 Island Ave
Fl 1
Philadelphia, PA 19153

3751 Island Ave
Ste 303
Philadelphia, PA 19153

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

5501 Chestnut St
Philadelphia, PA 19139
Phone (215) 748-8400

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1952311565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 WARRENVILLE RD",
            "address_2": "SUITE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321157",
            "telephone_number": "630-962-4457",
            "fax_number": "630-907-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177",
            "fax_number": "708-596-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Island Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191532300",
            "country_code": "US",
            "telephone_number": "215-596-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Warrenville Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605321999",
            "country_code": "US",
            "telephone_number": "630-962-4457",
            "fax_number": "331-281-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING-ERNST",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS021748P",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-116097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.