Unknown Individual – Psychiatry Physician, NPI 1902995798
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2615, Edwards Street, Milton, Alton, Madison County, Illinois, 62002, United States
ALTON, IL 620023915
Phone: (618) 462-2331
Fax: (618) 462-2504
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2023-12-21 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($193).
Total Amount
$300
General + Research + Ownership
Payments
22
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| - | IL | |
| Geriatric Psychiatry, Psychiatry | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| - | IL |
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