SUNSHINE PSYCHIATRY LLC NPI 1245841469

NPI Information

  • NPI: 1245841469
  • Provider Name: SUNSHINE PSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: SUNSHINE PSYCHIATRY
  • CLIA Number: 14D2306636
  • Address: 2259 W TAYLOR ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 285-2982

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NPI Details

SUNSHINE PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Chicago, IL. SUNSHINE PSYCHIATRY LLC NPI is 1245841469. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunshine Psychiatry.

The provider's business location address is:

2259 W TAYLOR ST
CHICAGO, IL
ZIP 60612-233
Phone: (312) 285-2982
Fax: (844) 835-7034

The provider's authorized official is Sherann Ivy .
The authorized official title is Administrator and has the following contact phone number (773) 517-8360.

The CLIA number assigned to this NPI record is 14D2306636 - other - private practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 3/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM1300XClinic/CenterMulti-SpecialtyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1341029006001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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