| Matrix Mental Health Ltd | |
|
1225 Richards St Joliet IL 60433-2745 | |
| (312) 554-5431 | |
| Not Available |
| Full Name | Matrix Mental Health Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1225 Richards St, Joliet, Illinois |
| Authorized Official Name and Position | Bikram Sharma (OWNER) |
| Authorized Official Contact | 3125545431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Mental Health Ltd Po Box 9412 Naperville IL 60567-0412 Ph: (312) 554-5431 | Matrix Mental Health Ltd 1225 Richards St Joliet IL 60433-2745 Ph: (312) 554-5431 |
| NPI Number | 1467212860 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 6204378714 |
|---|---|
| Medicare Enrollment ID | O20240611003430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467212860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bikram Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063891232 PECOS PAC ID: 5092047100 Enrollment ID: I20191022003274 |
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