NORTHWEST PSYCHIATRIC SC NPI 1154460004

NPI Information

  • NPI: 1154460004
  • Provider Name: NORTHWEST PSYCHIATRIC SC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • CLIA Number: 14D2131880
  • Address: 1217 N MCHENRY ROAD
    SUITE 236
    BUFFALO GROVE, IL
    ZIP 60089
  • Phone: (847) 821-0590

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NPI Details

NORTHWEST PSYCHIATRIC SC is a psychiatry psychiatry neurology in Buffalo Grove, IL. The provider is 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. NORTHWEST PSYCHIATRIC SC NPI is 1154460004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1217 N MCHENRY ROAD
SUITE 236
BUFFALO GROVE, IL
ZIP 60089-108
Phone: (847) 821-0590
Fax: (847) 821-0720

The provider's authorized official is Alan Nathan Miller .
The authorized official title is Owner Private Practitioner and has the following contact phone number (847) 821-0590.

The CLIA number assigned to this NPI record is 14D2131880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

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
12084P0800XPsychiatry & NeurologyPsychiatryILLINOISYes

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
104932119OTHERILLINOISBC BS OF ILLINOIS

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: 11/21/2025

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