MAIN ST. PSYCHIATRY, S.C. (NPI# 1346756491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346756491 |
| Entity Type | Organization |
| Organization Name | MAIN ST. PSYCHIATRY, S.C. |
| Practice Address |
5911 Northwest Hwy Crystal Lake IL 60014 |
| Mailing Address |
5911 Northwest Hwy Ste 207 Crystal Lake IL 60014-8043 |
| Practice Telephone | 8475429780 |
| Practice Fax Number | 2246552910 |
| Mailing Telephone | 8155263781 |
| Mailing Fax Number | 8155263094 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | DR. JOANNE GAIL PARKS (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8155263781 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36-086270 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5911 NORTHWEST HWY |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609886860 | Oaklund Medical Group, Ltd | Internal Medicine | 5911 Northwest Hwy, 205, Crystal Lake, IL 60014-8065 | 2006-08-09 |
| 1275846362 | Rejuvenesse | Internal Medicine | 5911 Northwest Hwy, Suite 101, Crystal Lake, IL 60014-8065 | 2010-07-19 |
| 1013104587 | Allergy & Asthma Associates Ltd | Internal Medicine | 5911 Northwest Hwy, Suite 208, Crystal Lake, IL 60014-8065 | 2007-09-28 |
| 1942492772 | Carol A. Kotzan, M.d., S. C. | Internal Medicine | 5911 Northwest Hwy, Suite 105, Crystal Lake, IL 60014-8065 | 2007-08-15 |
| 1578695151 | Barrington Health Care for Women | Specialist | 5911 Northwest Hwy, Suite 201, Crystal Lake, IL 60014-8065 | 2007-03-10 |
| 1699844134 | Regency Medical Center, P.C. | Family Medicine | 5911 Northwest Hwy, Suite 207, Crystal Lake, IL 60014-8065 | 2006-11-07 |
| 1538254693 | Haider Medical Group, Ltd | Internal Medicine | 5911 Northwest Hwy, Suite 101, Crystal Lake, IL 60014-8065 | 2006-10-04 |
| 1548361959 | Gilbert N Egekeze | Internal Medicine | 5911 Northwest Hwy, #205, Crystal Lake, IL 60014-8065 | 2006-09-26 |
| 1912017898 | Syed Waseem Haider | Internal Medicine | 5911 Northwest Hwy, Suite 107, Crystal Lake, IL 60014-8065 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538325147 | Julie Topic Gorman | Psychiatry & Neurology | 350 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6284 | 2008-08-03 |
| 1114126000 | Edwin V. Gumapas M.d. PC | Psychiatry & Neurology | 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014-4106 | 2007-07-12 |
| 1164508149 | Ramesh Babu Vemuri | Psychiatry & Neurology | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2006-10-31 |
| 1841288420 | Dennis Richard Brightwell | Psychiatry & Neurology | 422 Tracy Ct, Crystal Lake, IL 60014-6288 | 2005-10-08 |
| 1033101092 | Edwin Vera Gumapas | Psychiatry & Neurology | 25 S Virginia St, Ste 201, Crystal Lake, IL 60014-5800 | 2005-08-16 |
| 1104027663 | Kathryn Schoenbrod | Psychiatry & Neurology | 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014-6202 | 2007-05-30 |
| 1679540595 | Joseph P Mcnally | Psychiatry & Neurology | 820 E Terra Cotta Ave, Ste 144, Crystal Lake, IL 60014 | 2006-03-01 |
| 1821097924 | Aftab Poshni | Psychiatry & Neurology | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 | 2005-07-20 |
| 1871592881 | Chandragupta S Vedak | Psychiatry & Neurology | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 | 2005-07-20 |
| 1407855711 | Vamsi K Garlapati | Psychiatry & Neurology | 970 Mchenry Ave, Crystal Lake, IL 60014-7449 | 2005-07-19 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on MAIN ST. PSYCHIATRY, S.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.