MEGHANN HENNELLY


Address: 966 W 21st St, Chicago, IL 60608
Phone: 7732541400

MEGHANN HENNELLY (NPI# 1881869733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881869733
Entity Type Individual
Full Name MEGHANN HENNELLY
Practice Address 966 W 21st St
Chicago
IL 60608
Mailing Address 966 W 21st St
Chicago
IL 60608-4511
Practice Telephone 7732541400
Mailing Telephone 7732541400
Enumeration Date 2008-04-22
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036135834 IL Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
60-267357 NY Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
036135834 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036135834 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
435 E 70th St, Apt. 21m, New York, NY 100215342 6307320601

Office Location

Street Address 966 W 21ST ST
City CHICAGO
State IL
Zip Code 60608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003885005 Gaetano Fernando Perego Obstetrics & Gynecology 966 W 21st St, Chicago, IL 60608-4511 2006-03-14
1518579168 Ricardo Orozco Nurse Practitioner 966 W 21st St, Chicago, IL 60608-4511 2020-08-17
1821609306 Alivio Medical Center, Inc. Clinic/Center 966 W 21st St, Chicago, IL 60608-4511 2020-08-10
1659938157 Louis Alamilla Dietitian, Registered 966 W 21st St, Chicago, IL 60608-4511 2019-05-21
1851872741 Kiyomi Kimble Midwife 966 W 21st St, Chicago, IL 60608-4511 2018-08-28
1134632516 Melissa Ray House Midwife 966 W 21st St, Chicago, IL 60608-4511 2017-11-08
1659899755 Natalia Torres Nurse Practitioner 966 W 21st St, Chicago, IL 60608-4511 2017-09-08
1669996708 Estela Melgoza Counselor 966 W 21st St, Chicago, IL 60608 2017-07-31
1649654484 Fatima Saaduddin Dentist 966 W 21st St, Chicago, IL 60608-4511 2015-07-10
1457757247 Sarah Kathryn Quirk Advanced Practice Midwife 966 W 21st St, Chicago, IL 60608-4511 2014-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144848086 Zachary A Kordik Md PC Psychiatry & Neurology 25 E Washington St Ste 904, Chicago, IL 60602-1715 2020-07-07
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
1952937104 Bespoke Psychiatry Psychiatry & Neurology 727 W Madison St Apt 4302, Chicago, IL 60661-2580 2020-03-19
1588295125 Chicago Psychiatric Partners LLC Psychiatry & Neurology 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 2020-02-03
1841758646 River North Psychiatry LLC Psychiatry & Neurology 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 2019-03-11
1760952865 Mandy Evans, Md, LLC Psychiatry & Neurology 2421 N Lawndale Ave, Chicago, IL 60647-2320 2018-11-30
1841773074 Musec Medical LLC Psychiatry & Neurology 1520 W Walton St Unit 3, Chicago, IL 60642-5212 2018-09-13
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Competitor

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City CHICAGO
Zip Code 60608

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Dataset Information

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.

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