| Mugen Psychiatry Llc | |
|
3023 N Clark St Ste 593 Chicago IL 60657-5200 | |
| (205) 427-9243 | |
| (314) 405-9688 |
| Full Name | Mugen Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3023 N Clark St Ste 593, Chicago, Illinois |
| Authorized Official Name and Position | Alan Akira (FOUNDER) |
| Authorized Official Contact | 2054279243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mugen Psychiatry Llc 3023 N Clark St Ste 593 Chicago IL 60657-5200 Ph: (205) 427-9243 | Mugen Psychiatry Llc 3023 N Clark St Ste 593 Chicago IL 60657-5200 Ph: (205) 427-9243 |
| NPI Number | 1861146284 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 6002201613 |
|---|---|
| Medicare Enrollment ID | O20220317002086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861146284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sherann Ivy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919498 PECOS PAC ID: 7214267244 Enrollment ID: I20190918000805 |
| Provider Name | Elizabette Nava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861970642 PECOS PAC ID: 5597197145 Enrollment ID: I20191120000189 |
| Provider Name | Alan Akira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710470257 PECOS PAC ID: 3476809187 Enrollment ID: I20210302001649 |
| Provider Name | Natalia Joanna Rysmanowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386266237 PECOS PAC ID: 7416354717 Enrollment ID: I20211011002763 |
| Provider Name | Ravneet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265053771 PECOS PAC ID: 0840676953 Enrollment ID: I20220927002505 |
| Provider Name | Jennifer Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477206308 PECOS PAC ID: 0749657773 Enrollment ID: I20221104000801 |
| Provider Name | Bishoy Nabil Nicolas Goubran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639673916 PECOS PAC ID: 4284037789 Enrollment ID: I20221116002225 |
| Provider Name | Jasmin Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061780 PECOS PAC ID: 9234508441 Enrollment ID: I20221210000428 |
| Provider Name | Kirk Lydell Mccall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750907044 PECOS PAC ID: 8426473547 Enrollment ID: I20230112001937 |
| Provider Name | Chadwick F Yip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912522467 PECOS PAC ID: 8325462393 Enrollment ID: I20230207002206 |
| Provider Name | James Chambliss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619538352 PECOS PAC ID: 2264767227 Enrollment ID: I20230316000478 |
| Provider Name | Carmel A Nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285193367 PECOS PAC ID: 8921331158 Enrollment ID: I20230605003134 |
| Provider Name | Erika Marie Regacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508562687 PECOS PAC ID: 3375902406 Enrollment ID: I20230706003895 |
| Provider Name | Da Som Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477261089 PECOS PAC ID: 7113386004 Enrollment ID: I20230711000584 |
| Provider Name | Nicole Lentini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679948822 PECOS PAC ID: 2769716323 Enrollment ID: I20230915003350 |
| Provider Name | Gary Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730743105 PECOS PAC ID: 1658773494 Enrollment ID: I20231101003173 |
| Provider Name | Jared D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770160137 PECOS PAC ID: 4082016696 Enrollment ID: I20231102001177 |
| Provider Name | Robin Du |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073192597 PECOS PAC ID: 2961804059 Enrollment ID: I20231212000239 |
| Provider Name | Emmad Karmouta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447839022 PECOS PAC ID: 3678976982 Enrollment ID: I20231212000701 |
| Provider Name | Dong Gue Oh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952966293 PECOS PAC ID: 4981007101 Enrollment ID: I20240102002979 |
| Provider Name | Jonathon G Skurya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598375941 PECOS PAC ID: 3870994411 Enrollment ID: I20240104001507 |
| Provider Name | Won-he Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164050654 PECOS PAC ID: 3476906595 Enrollment ID: I20240125000473 |
| Provider Name | Kelsey Rae Colangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265204879 PECOS PAC ID: 2163875600 Enrollment ID: I20240131002394 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |