RICHARD L JACONETTE (NPI# 1578785432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578785432 |
| Entity Type | Individual |
| Full Name | RICHARD L JACONETTE |
| Credential | MD |
| Practice Address |
526 W State Street Rockford IL 61101 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8159689300 |
| Mailing Telephone | 8159689300 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036-102168 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
526 W STATE STREET |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1801018791 | Lynne Marie Pollock | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1841374949 | Wanda Hoover | Counselor | 526 W State Street, Janet Wattles Center, Rockford, IL 61101-1214 | 2006-10-25 |
| 1750461646 | Mitchell K Davenport | Counselor | 526 W State Street, Rockford, IL 61101-1214 | 2006-10-16 |
| 1427138312 | Elizabeth J Bartos | Counselor | 526 W State Street, Janet Wattles Center, Rockford, IL 61101-1214 | 2006-10-16 |
| 1396825196 | Charity Faith Shaw Moyado | Social Worker | 526 W State Street, Janet Wattles Center, Rockford, IL 61101-1214 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1871668418 | Matrice Denise Williams | Social Worker | 2823 Glenwood Ave, Rkfd, IL 61101 | 2006-11-21 |
| 1093819245 | Elise Cadigan Koski | Social Worker | 2823 Glenwood Ave, Rockford, IL 61101 | 2006-09-09 |
| 1295723021 | Kamlesh P Ramchandani | Internal Medicine | 111 N Church St, Rockford, IL 61101-1001 | 2005-10-06 |
| 1447363221 | George Lazopoulos | Dentist | 111 N Church St, Rockford, IL 61101-1001 | 2006-08-16 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1386110708 | Jamie Therse Brewer | Psychiatry & Neurology | 1401 E State St Fl 4, Rockford, IL 61104-2315 | 2018-10-24 |
| 1447608492 | Jessica Stier | Psychiatry & Neurology | 1643 N Alpine Rd Ste 104-528, Rockford, IL 61107-1462 | 2016-06-01 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1689966756 | Gerald Keith Hoffman | Psychiatry & Neurology | 5906 Elaine Drive, Rockford, IL 61108-2467 | 2011-05-09 |
| 1740471317 | David Allen Wight | Psychiatry & Neurology | 7019 Rote Rd Ste 105, Rockford, IL 61107-2611 | 2007-08-07 |
| 1366641714 | Khatija Mohammad Vaid | Psychiatry & Neurology | 4960 E State St, Rockford, IL 61108-2268 | 2007-07-16 |
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1730257056 | Zaffar A Rizvi | Psychiatry & Neurology | 6078 Palo Verde Drive, Rockford, IL 61114 | 2006-12-04 |
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
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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.