MAGNOLIA PSYCHIATRIC HEALTH, PLLC – NPI #1316803620
Clinic/Center

MAGNOLIA PSYCHIATRIC HEALTH, PLLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1316803620 to MAGNOLIA PSYCHIATRIC HEALTH, PLLC on December 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAGNOLIA PSYCHIATRIC HEALTH, PLLC below.

NPI Profile for
MAGNOLIA PSYCHIATRIC HEALTH, PLLC

NPI Number
1316803620
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGNOLIA PSYCHIATRIC HEALTH, PLLC
Primary location
213 W INSTITUTE PL STE 500
CHICAGO, IL 60610-8792
Phone: (312) 471-2250 Fax: (267) 367-5929
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYDNEY STATHES
OWNER
Phone: (312) 471-2250
Updated
Certification Date
Dec 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.