FAISAL AHMED (NPI# 1417069881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417069881 |
| Entity Type | Individual |
| Full Name | FAISAL AHMED |
| Credential | MD |
| Practice Address |
403 W Virginia Ave Normal IL 61761-3666 |
| Practice Telephone | 3092682568 |
| Practice Fax Number | 3092682913 |
| Mailing Telephone | 3092682568 |
| Mailing Fax Number | 3092682913 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036-123125 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427314855 | Faisal Ahmed | Radiology | Stanford Medical Center, Dept. of Radiation Oncology, 875 Blake Wilbur Dr Rm 305, Stanford, CA 94305-0000 | 2012-04-10 |
| 1477678928 | Faisal Vakil Ahmed | Internal Medicine | 4625 N. University Street, Peoria, IL 61614 | 2007-03-20 |
| 1588004287 | Faisal Ahmed | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2013-06-27 |
| 1093950917 | Faisal Ali Ahmed | Urology | 8540 S Sepulveda Blvd, #911, Los Angeles, CA 90045-3807 | 2008-12-05 |
| Street Address |
403 W VIRGINIA AVE |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207109 | Bromenn Physicians Management Corporation | Family Medicine | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-15 |
| 1639452139 | Brent Sylvester | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2011-09-21 |
| 1669798716 | Bryan J Denure | Counselor | 403 W Virginia Ave, Normal, IL 61761-3666 | 2010-04-14 |
| 1407172554 | Jody L Poultney | Social Worker | 403 W Virginia Ave, Normal, IL 61761-3666 | 2010-04-14 |
| 1144243882 | Jolie M. Hoffmann | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1891718540 | Merlin R. Mather | Counselor | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1477576114 | Kevin M. Krippner | Counselor | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1215950969 | Lori A. Osborne | Social Worker | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1487677100 | Carmen D. Chase | Psychiatry & Neurology | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1639192354 | Scott Mccormick IIi | Psychiatry & Neurology | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
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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.