DR. ARIF HABIB (NPI# 1215912977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215912977 |
| Entity Type | Individual |
| Full Name | DR. ARIF HABIB |
| Credential | MD |
| Practice Address |
2120 Madison Ave Ste 404 Granite City IL 62040 |
| Practice Telephone | 6188767515 |
| Practice Fax Number | 6188767596 |
| Mailing Telephone | 6188767515 |
| Mailing Fax Number | 6188767596 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
336.062826 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036101209 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
119759 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036101209 | 05 | |
| MO | 204759831 | 05 |
| Street Address |
2120 MADISON AVE STE 404 |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266935 | Fred B Ginsberg | Anesthesiology | 2120 Madison Ave, Suite 106, Granite City, IL 62040-4744 | 2005-06-22 |
| 1992249742 | Amy Lynn Kruckeberg | Counselor | 2120 Madison Ave, #404, Granite City, IL 62040-4744 | 2016-12-13 |
| 1073973863 | Amanda Hemphill | Nurse Practitioner | 2120 Madison Ave, Suite 404, Granite City, IL 62040-4744 | 2016-03-07 |
| 1013269984 | Granite City Psychiatry LLC | Clinic/Center | 2120 Madison Ave, Suite 405, Granite City, IL 62040-4744 | 2012-10-02 |
| 1184750127 | Illinois Ear, Nose and Throat Associates, P.c | Otolaryngology | 2120 Madison Ave, Suite 200, Granite City, IL 62040-4744 | 2007-02-26 |
| 1750451993 | Mid-america Psychiatric Consultants, LLC | Psychiatry & Neurology | 2120 Madison Ave, Suite 404, Granite City, IL 62040 | 2006-11-08 |
| 1548362775 | Karl Raymond Gundersen | Psychiatry & Neurology | 2120 Madison Ave, Ste 405, Granite City, IL 62040 | 2006-09-01 |
| 1639116767 | Jodie Lynn Warsing | Nurse Practitioner | 2120 Madison Ave, Ste 404, Granite City, IL 62040 | 2006-05-31 |
| 1740259043 | Jeffrey Fierstein | Otolaryngology | 2120 Madison Ave, Suite 200, Granite City, IL 62040-4744 | 2006-03-17 |
| 1528037280 | James Fernandez | Otolaryngology | 2120 Madison Ave, Suite 200, Granite City, IL 62040-4744 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| 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 |
|---|---|---|---|---|
| 1104058775 | Thwan H. Han Md Ltd | Psychiatry & Neurology | 2350 Benton St, Granite City, IL 62040-3330 | 2009-08-17 |
| 1538288436 | Nicole Diane Canaley | Psychiatry & Neurology | 2166 Madison Avenue, Granite City, IL 62040 | 2007-03-29 |
| 1821102484 | Seth Tilzer | Psychiatry & Neurology | 2100 Madison Ave., Gateway Regional Medical Center, Granite City, IL 62040 | 2006-08-19 |
| 1164536744 | Seth Tilzer, Inc | Psychiatry & Neurology | Gateway Regional Medical Center, 2100 Madison Ave, Granite City, IL 62040 | 2006-08-19 |
| 1750451993 | Mid-america Psychiatric Consultants, LLC | Psychiatry & Neurology | 2120 Madison Ave, Suite 404, Granite City, IL 62040 | 2006-11-08 |
| 1548362775 | Karl Raymond Gundersen | Psychiatry & Neurology | 2120 Madison Ave, Ste 405, Granite City, IL 62040 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
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| 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.