Bespoke Psychiatry - Medicare Mental Health Clinic in Chicago, IL

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Bespoke Psychiatry is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Chicago, Illinois. The current practice location for Bespoke Psychiatry is 1203 W Augusta Blvd Ste 1, Chicago, Illinois. For appointments, you can reach them via phone at (773) 248-2255. The mailing address for Bespoke Psychiatry is 1203 W Augusta Blvd Ste 1, Chicago, Illinois and phone number is (773) 248-2255.

Bespoke Psychiatry is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952937104. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 248-2255.

Contact Information

Bespoke Psychiatry
1203 W Augusta Blvd Ste 1
Chicago
IL 60642-4327
(773) 248-2255
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameBespoke Psychiatry
SpecialityPsychiatry & Neurology
Location1203 W Augusta Blvd Ste 1, Chicago, Illinois
Authorized Official Name and PositionMartha C Hnatiw (ACCOUNT MANAGER)
Authorized Official Contact6302411495
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bespoke Psychiatry
1203 W Augusta Blvd Ste 1
Chicago
IL 60642-4327

Ph: (773) 248-2255		Bespoke Psychiatry
1203 W Augusta Blvd Ste 1
Chicago
IL 60642-4327

Ph: (773) 248-2255

NPI Details:

NPI Number1952937104
Provider Enumeration Date03/19/2020
Last Update Date02/02/2022
Certification Date02/02/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3274951744
Medicare Enrollment IDO20200915002352

Medical Identifiers

Medical identifiers for Bespoke Psychiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952937104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bespoke Psychiatry acts as a billing entity for following providers:
Provider NamePamela S Brodt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982737789
PECOS PAC ID: 3577658590
Enrollment ID: I20071004000696
Provider NamePatricia R Pipp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679738348
PECOS PAC ID: 7517025604
Enrollment ID: I20081017000508
Provider NameChristina Irmgard Alexakos
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1265731533
PECOS PAC ID: 2062699648
Enrollment ID: I20110608000162
Provider NameCatherine Arend
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538600820
PECOS PAC ID: 1759651755
Enrollment ID: I20170725000892
Provider NameEkalak Yodchai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609395383
PECOS PAC ID: 4688930944
Enrollment ID: I20171102002146
Provider NameKrushen Pillay
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568812253
PECOS PAC ID: 7911299870
Enrollment ID: I20181002003264
Provider NameJacob Fyda
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992168322
PECOS PAC ID: 0941597801
Enrollment ID: I20181107001790
Provider NameChristina N High
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730664053
PECOS PAC ID: 9638413156
Enrollment ID: I20181210001831
Provider NameKatrina K Berres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831665231
PECOS PAC ID: 6305181918
Enrollment ID: I20181228001610
Provider NameTheresa K Scheerenberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457823544
PECOS PAC ID: 3577802230
Enrollment ID: I20190225002855
Provider NameOlivia C Castellanos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821551599
PECOS PAC ID: 5597007781
Enrollment ID: I20190509000847
Provider NameBashiru Babawale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982163085
PECOS PAC ID: 5890028534
Enrollment ID: I20190912001690
Provider NameJackie R Rajani
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073043352
PECOS PAC ID: 2163751363
Enrollment ID: I20190913001294
Provider NameHao Cheng
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1932630993
PECOS PAC ID: 0941571772
Enrollment ID: I20191112001797
Provider NameJennifer Harkey
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790214674
PECOS PAC ID: 1850723834
Enrollment ID: I20191113000014
Provider NameBimbola M Amoranbini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770145278
PECOS PAC ID: 8123450863
Enrollment ID: I20191118001914
Provider NameElizabette Nava
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861970642
PECOS PAC ID: 5597197145
Enrollment ID: I20191120000189
Provider NameErnest Ogbeide
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235763863
PECOS PAC ID: 1456776830
Enrollment ID: I20200731002148
Provider NameTracy M Jacobson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114529781
PECOS PAC ID: 5294146635
Enrollment ID: I20201116002318
Provider NameBenjamin Severance
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902178379
PECOS PAC ID: 7012328529
Enrollment ID: I20201203003110
Provider NameJennifer Lynn Adams
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487185260
PECOS PAC ID: 7315370012
Enrollment ID: I20201205000017
Provider NameLadan Khazai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518318716
PECOS PAC ID: 1951696301
Enrollment ID: I20201210001657
Provider NameOsasumwen O Igbinoba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942833306
PECOS PAC ID: 9032536438
Enrollment ID: I20201212000014
Provider NameStephanie Nhim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598371189
PECOS PAC ID: 1456768944
Enrollment ID: I20210330000589
Provider NameTawakalitu Afolashade Babawale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043820517
PECOS PAC ID: 1557770427
Enrollment ID: I20210505000830
Provider NameChanelle Christine Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457986929
PECOS PAC ID: 3971902594
Enrollment ID: I20210601001428
Provider NameSusan Gierczyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124697719
PECOS PAC ID: 4981092293
Enrollment ID: I20211019001115
Provider NameElaina May Barraza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558937508
PECOS PAC ID: 6507254869
Enrollment ID: I20211019003157
Provider NameSonya Mohan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922452408
PECOS PAC ID: 2860804267
Enrollment ID: I20211105000554
Provider NameDaleena Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184212128
PECOS PAC ID: 7214326347
Enrollment ID: I20211111001147
Provider NameStacy Renee Ghiglieri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053065623
PECOS PAC ID: 1557757531
Enrollment ID: I20220330002037
Provider NameCristina Rojas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619617891
PECOS PAC ID: 6608262969
Enrollment ID: I20220413002191
Provider NameAnh Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508437484
PECOS PAC ID: 0648667162
Enrollment ID: I20220429001985
Provider NameAmanda Dawn Thoennes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629275953
PECOS PAC ID: 2062898802
Enrollment ID: I20221003001714
Provider NameIrfan Babariya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225755523
PECOS PAC ID: 1557732203
Enrollment ID: I20230117002874
Provider NameAhmed Maki
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215466164
PECOS PAC ID: 5698147106
Enrollment ID: I20230209002849
Provider NameSol Estrada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457055451
PECOS PAC ID: 3173988789
Enrollment ID: I20230504001769
Provider NameRhiannon L Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063120897
PECOS PAC ID: 5395101901
Enrollment ID: I20230523002432
Provider NameEthan Jose Eder Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922703487
PECOS PAC ID: 1557728763
Enrollment ID: I20230602001776
Provider NameAngelique Bautista Gabat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003514985
PECOS PAC ID: 2769849728
Enrollment ID: I20230606002999
Provider NameCawonda Ranee Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417648148
PECOS PAC ID: 3274994512
Enrollment ID: I20230802001846
Provider NameShawna Donaldson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902595226
PECOS PAC ID: 3274996202
Enrollment ID: I20230824000181
Provider NameKelsey Jordan Frain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649057795
PECOS PAC ID: 0547616849
Enrollment ID: I20231023002372
Provider NameJamie Fyda
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518548429
PECOS PAC ID: 6507265949
Enrollment ID: I20231107000069
Provider NameShaniqua Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801562517
PECOS PAC ID: 7214384650
Enrollment ID: I20231107002632
Provider NameMary Ann Longalong Villalon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447936984
PECOS PAC ID: 1850748211
Enrollment ID: I20231107003731
Provider NameTerri D Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629840046
PECOS PAC ID: 7618324435
Enrollment ID: I20231115002075
Provider NameEric Yi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154007748
PECOS PAC ID: 6002265048
Enrollment ID: I20231215000711
Provider NameGlenn Agape Edillor Montero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124805189
PECOS PAC ID: 2264881168
Enrollment ID: I20231216000204
Provider NameMary Jane Evangelista
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720760010
PECOS PAC ID: 2163871062
Enrollment ID: I20231216000242
Provider NameCaroline Bernardi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912525544
PECOS PAC ID: 8628412640
Enrollment ID: I20240219000825
Provider NameLoretta Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003591017
PECOS PAC ID: 7810331774
Enrollment ID: I20240219002390
Provider NameEric William Leppink
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972185940
PECOS PAC ID: 9830590801
Enrollment ID: I20240405001378
Provider NameNakib Mansuri
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093380818
PECOS PAC ID: 1850794801
Enrollment ID: I20240520000954
Provider NameShira Cohen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770344624
PECOS PAC ID: 3577006170
Enrollment ID: I20240624004908
Provider NameMichal Fyda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356106272
PECOS PAC ID: 9638612146
Enrollment ID: I20240625000287
Provider NameJulianne A Lowery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063636116
PECOS PAC ID: 0042666869
Enrollment ID: I20240912000985
Provider NameCarrie A Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235960188
PECOS PAC ID: 7315476975
Enrollment ID: I20250128000232
Provider NameVasiliki Stratikopoulou
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992527956
PECOS PAC ID: 2567992704
Enrollment ID: I20250204000606
Provider NameVictoria Strickland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720862998
PECOS PAC ID: 9830543578
Enrollment ID: I20250331002381
Provider NameCynthia Worthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821897828
PECOS PAC ID: 2365965357
Enrollment ID: I20250331002807
Provider NameTakahya Mcintyre
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558976720
PECOS PAC ID: 6103340716
Enrollment ID: I20250404001029
Provider NameShanell Rena Gladson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043845084
PECOS PAC ID: 7618492810
Enrollment ID: I20250421001925
Provider NameDevika Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881426294
PECOS PAC ID: 8527591452
Enrollment ID: I20250613001920

Reviews and Comments

Psychiatry & Neurology in Chicago, IL

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
The Thresholds
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.