PRAIRIE PSYCHIATRY, SC – Psychiatry Physician, NPI 1760563688

PRAIRIE PSYCHIATRY, SC is a healthcare provider. based in Belleville, Illinois. specializing in Psychiatry Physician. The NPI Number for PRAIRIE PSYCHIATRY, SC is 1760563688

Main info

Organization
Name
PRAIRIE PSYCHIATRY, SC
NPI
1760563688
Phone
(618) 235-1582
Address
301 W LINCOLN ST
Authorized Official
DR. RANDY JOHN JUNG I OWNER M.D.
Enumeration Date
18 October 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PRAIRIE PSYCHIATRY, SC

  • 301, West Lincoln Street, Belleville, Saint Clair County, Illinois, 62220, United States

    SUITE 106

    BELLEVILLE, IL 622201901

    Phone: (618) 235-1582

    Fax: (618) 235-2473

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

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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 62220)

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Reviews

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Frequently asked questions

What unique ID ties claims to PRAIRIE PSYCHIATRY, SC?
NPI 1760563688 is assigned to PRAIRIE PSYCHIATRY, SC under the national enumeration system.
Is PRAIRIE PSYCHIATRY, SC currently active in the NPI registry?
CMS-published data lists PRAIRIE PSYCHIATRY, SC as an active registrant.
What does PRAIRIE PSYCHIATRY, SC treat or focus on?
Patients typically see PRAIRIE PSYCHIATRY, SC under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for PRAIRIE PSYCHIATRY, SC?
We surface Belleville, Illinois for PRAIRIE PSYCHIATRY, SC based on available NPPES addresses.
Is PRAIRIE PSYCHIATRY, SC a real provider?
This page reflects official NPPES data for NPI 1760563688. Always confirm identity and privileges with the practice and licensing boards.

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