Organization Active NPI

Psychopharmacology Clinics of America, S.C.

  • Psychiatry Physician
  • Oak Brook, IL
National Provider Identifier
1982993994
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-082013 Issued in IL
Legal business name
PSYCHOPHARMACOLOGY CLINICS OF AMERICA, S.C.
Practice address
1200 Harger Rd
Suite 415
Oak Brook, IL 60523-1805
Phone
(630) 928-1000
Fax
(630) 928-0020
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mohammed Y Alam, MDNPI 1447549688
Title
President
Phone
(630) 928-1000

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036-082013 IL Primary

Addresses

Primary practice location

1200 Harger Rd
Suite 415
Oak Brook, IL 60523-1805

Mailing address

1200 Harger Rd
Suite 415
Oak Brook, IL 60523-1805
Phone (630) 928-1000

National Provider Directory

National Provider Directory

Locations

1200 Harger Rd
Ste 415
Oak Brook, IL 60523
Phone (630) 928-1000

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": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1982993994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "address_2": "SUITE 415",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-928-1000",
            "fax_number": "630-928-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "address_2": "SUITE 415",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-928-1000",
            "fax_number": "630-928-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOPHARMACOLOGY CLINICS OF AMERICA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-928-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-082013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.