ILLIANA PSYCHIATRIC ASSOCIATES (NPI# 1932441631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932441631 |
| Entity Type | Organization |
| Organization Name | ILLIANA PSYCHIATRIC ASSOCIATES |
| Practice Address |
2010 E Columbus Dr East Chicago IN 46312-2830 |
| Mailing Address |
4320 Fir St Suite 307 East Chicago IN 46312-3052 |
| Practice Telephone | 2193976369 |
| Mailing Telephone | 2194558155 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DR. FARZANA A KHAN (CEO) |
| Authorized Official Telephone | 2193976369 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
1038685 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100325130 | 05 |
| Street Address |
2010 E COLUMBUS DR |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114965084 | Farzana A Khan | Psychiatry & Neurology | 2010 E Columbus Dr, East Chicago, IN 46312 | 2006-06-03 |
| 1962889550 | Doctors At Your Door Sc | Internal Medicine | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2015-05-03 |
| 1932495561 | Forchis Therapy LLC | Physical Therapist | 2010 E Columbus Dr, Suite 1a, East Chicago, IN 46312-2830 | 2011-06-22 |
| 1811291248 | Illiana Psychiatric Associates Inc PC | Psychologist | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2010-12-28 |
| 1619280120 | Northwest Procedures Medical Centers and Immediate Care Centers | Pediatrics | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2010-07-26 |
| 1942321294 | Northwest Procedures Medical Center and Immediate Care Centers | Clinic/Center | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1992116305 | Familia Dental Ec LLC | Dentist | 4624a Magoun Avenue, East Chicago, IN 46312 | 2014-05-20 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| Find all providers in zip 46312 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612551 | Dallas M Hunsberger | Psychologist | 2118 Milburn Blvd, Mishawaka, IN 46544-4521 | 2018-03-11 |
| 1891919783 | St.vincent Anderson Regional Hospital | Psychologist | 2015 Jackson St, Anderson, IN 46016-4337 | 2007-04-12 |
| City | EAST CHICAGO |
| Zip Code | 46312 |
Please comment or provide details below to improve the information on ILLIANA PSYCHIATRIC ASSOCIATES.
| 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.