NARAYANA REDDY (NPI# 1306880281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306880281 |
Entity Type | Individual |
Full Name | NARAYANA REDDY |
Credential | M.D. |
Practice Address |
228 Ne Jefferson Ave Peoria IL 61603-3802 |
Mailing Address |
Po Box 1346 Peoria IL 61654-1346 |
Practice Telephone | 3096718000 |
Practice Fax Number | 3096714695 |
Mailing Telephone | 3096718000 |
Mailing Fax Number | 3096714695 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2012-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036088236 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RAILROAD MEDICARE | 260025472 | 01 |
IL | 0360882361 | 05 | |
IL | MEDICARE ID- TYPE UNSPECIFIED | L34349 | 01 |
IL | 0360882362 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548378276 | Narayana N Reddy | Internal Medicine | 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 | 2006-08-25 |
1326005661 | Narayana P Reddy | Psychiatry & Neurology | 742 James St, Mental Health Services, Syracuse, NY 13203 | 2006-04-28 |
Street Address |
228 NE JEFFERSON AVE |
City | PEORIA |
State | IL |
Zip Code | 61603-3802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326045675 | Christopher Michael Gillette | Pharmacist | 228 Ne Jefferson Ave, Peoria, IL 61603-3639 | 2005-07-01 |
1427603935 | Jonathan William Mooney | Nurse Practitioner | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2019-08-02 |
1215488697 | Jacqueline Jones Toal | Nurse Practitioner | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2016-10-20 |
1588013783 | Krystyn Gunther | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2016-06-08 |
1578940557 | Human Service Center | Community/Behavioral Health | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2015-04-29 |
1679826887 | Cynthia L Gilmer | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2012-10-25 |
1922351139 | Lyuba Z Shur | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2012-10-25 |
1922311679 | Human Service Center | Community/Behavioral Health | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2010-07-23 |
1679719777 | Suparna Basu | Psychiatry & Neurology | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2008-12-21 |
1104941657 | George Kenneth Shotick Jr. | Family Medicine | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2007-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
Find all providers in zip 61603 |
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 |
---|---|---|---|---|
1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
1437438249 | Kapil Kiran Aedma | Psychiatry & Neurology | 900 Main St Ste 400, Peoria, IL 61602-1060 | 2011-08-10 |
1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
1366647521 | Andrew Jerome Lancia | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2007-06-18 |
1710197827 | Mahasukh Shah | Psychiatry & Neurology | 5827 N Briarwood Ln, Peoria, IL 61614-4230 | 2007-05-23 |
1972620706 | Ronald Michael Schwartz | Psychiatry & Neurology | 9069 W Irma Ln, Peoria, AZ 85382-6481 | 2007-03-25 |
1386702595 | Christine Bowers | Psychiatry & Neurology | 4719 N Sheridan Road, Peoria, IL 61614 | 2006-12-04 |
1861584542 | Abraham Ramy Frenkel | Psychiatry & Neurology | 7317 N Willow Lake Ct, Peoria, IL 61614-8260 | 2006-09-29 |
1407948607 | Andrew Jon Heritch | Psychiatry & Neurology | 3116 N Dries Ln, #201, Peoria, IL 61604 | 2006-09-28 |
1205945912 | Shaukat Ali Khan | Psychiatry & Neurology | 5016 North University Street, Suite 104, Peoria, IL 61614-4763 | 2006-08-29 |
Find all providers in PEORIA |
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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.