ILLIANA PSYCHIATRIC ASSOCIATES INC PC (NPI# 1811291248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811291248 |
| Entity Type | Organization |
| Organization Name | ILLIANA PSYCHIATRIC ASSOCIATES INC PC |
| Practice Address |
2010 E Columbus Dr East Chicago IN 46312-2830 |
| Mailing Address |
4320 Fir St Suite 307 East Chicago IN 46312-3052 |
| Practice Telephone | 2193976369 |
| Practice Fax Number | 2194407240 |
| Mailing Telephone | 2193976369 |
| Mailing Fax Number | 2194407240 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DR. FARZANA A KHAN (PRESIDENT) |
| Authorized Official Telephone | 2194558155 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01038685 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100325130A | 05 |
| Street Address |
2010 E COLUMBUS DR |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114965084 | Farzana A Khan | Psychiatry & Neurology | 2010 E Columbus Dr, East Chicago, IN 46312 | 2006-06-03 |
| 1962889550 | Doctors At Your Door Sc | Internal Medicine | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2015-05-03 |
| 1932441631 | Illiana Psychiatric Associates | Psychologist | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2013-03-20 |
| 1932495561 | Forchis Therapy LLC | Physical Therapist | 2010 E Columbus Dr, Suite 1a, East Chicago, IN 46312-2830 | 2011-06-22 |
| 1619280120 | Northwest Procedures Medical Centers and Immediate Care Centers | Pediatrics | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2010-07-26 |
| 1942321294 | Northwest Procedures Medical Center and Immediate Care Centers | Clinic/Center | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1992116305 | Familia Dental Ec LLC | Dentist | 4624a Magoun Avenue, East Chicago, IN 46312 | 2014-05-20 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| Find all providers in zip 46312 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952651408 | Valerie Perez | Psychologist | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2012-09-12 |
| 1215258454 | Bethany Cook | Psychologist | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2010-06-22 |
| 1720225873 | Robbin Desiree Lewis Jr. | Psychologist | 4321 Fir St, East Chicago, IN 46312 | 2009-01-12 |
| 1689703043 | Anissa Rivers | Psychologist | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2007-03-03 |
| 1669515797 | Sharon Kraus | Psychologist | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2007-02-15 |
| 1750365995 | Erin Mantis | Psychologist | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHICAGO |
| Zip Code | 46312 |
Please comment or provide details below to improve the information on ILLIANA PSYCHIATRIC ASSOCIATES INC PC.
| 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.