DR. JUAN M MEDINA (NPI# 1265485106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265485106 |
| Entity Type | Individual |
| Full Name | DR. JUAN M MEDINA |
| Credential | MD |
| Practice Address |
320 S Locust St Carlinville IL 62626-1748 |
| Mailing Address |
320 S Locust St Carlinville IL 62626-1648 |
| Practice Telephone | 2178543166 |
| Mailing Telephone | 2178543166 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406343 | Juan B Medina | Interpreter | 101 Tacoma Blvd N Apt 1, Pacific, WA 98047-1045 | 2020-08-07 |
| 1447705371 | Juan Medina | Licensed Practical Nurse | 275 2nd St Fl 3, Elizabeth, NJ 07206-2058 | 2016-08-21 |
| 1780064154 | Juan Medina | Student in an Organized Health Care Education/Training Program | 113 East F Street, Tehachapi, CA 93561 | 2015-06-01 |
| 1982873667 | Juan Carlos Medina | Acupuncturist | 4250 Sw 4th St, Coral Gables, FL 33134-1924 | 2008-02-26 |
| 1831255892 | Juan De Jesus Medina | Psychologist | 2do Piso Carr 129, Antiguo Hospital De Distrito, Arecibo, PR 00612 | 2006-12-27 |
| 1588637359 | Juan Israel Medina Jr. | Dentist | Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo, Suite #607, San Juan, PR 00917-5028 | 2006-02-10 |
| 1073093605 | Juan Carlos Medina | Physical Therapy Assistant | 3810 Hale Ave, Harlingen, TX 78550-9230 | 2018-08-14 |
| 1326187626 | Juan A Medina | Internal Medicine | 870 Central Ave, Far Rockaway, NY 11691-4660 | 2007-02-05 |
| 1497853568 | Juan R Medina | Family Medicine | 1310 Hanna Ave, Ste 1, Corcoran, CA 93212-2314 | 2006-09-20 |
| 1356352587 | Juan J Medina | Urology | 735 Ponce De Leon Ave, Suite 609, San Juan, PR 00917-5028 | 2006-08-11 |
| Street Address |
320 S LOCUST ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005910 | Kim C Allison | Registered Nurse | 320 S Locust St, Carlinville, IL 62626-1648 | 2020-08-28 |
| 1023621158 | Ryan Watts | Registered Nurse | 320 S Locust St, Carlinville, IL 62626-1648 | 2020-08-28 |
| 1598307712 | Locust Street Resource Center | Clinic/Center | 320 S Locust St, Carlinville, IL 62626-1648 | 2019-10-09 |
| 1699242503 | Alexander Chipman | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2018-10-29 |
| 1871068817 | Rachel Lauren Hibbard | Social Worker | 320 S Locust St, Carlinville, IL 62626-1648 | 2018-10-05 |
| 1578918892 | Elizabeth Mcintosh | Social Worker | 320 S Locust St, Carlinville, IL 62626-1648 | 2016-04-25 |
| 1295129690 | Anne Greenwalt | Nurse Practitioner | 320 S Locust St, Carlinville, IL 62626-1648 | 2015-03-24 |
| 1093140253 | Nicole Anne Robertson | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2013-09-06 |
| 1326366287 | Molly A. Ondrey | Counselor | 320 S Locust St, Carlinville, IL 62626-1648 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| 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 |
|---|---|---|---|---|
| 1215215280 | Yae Rim Lee | Psychiatry & Neurology | 805 N Broad St, Carlinville, IL 62626-1075 | 2011-07-25 |
| 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 | CARLINVILLE |
| Zip Code | 62626 |
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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.