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GRANITE CITY PSYCHIATRY LLC
NPI 1013269984
Clinic/Center - Mental Health (Including Community Mental Health Center) in Granite City, IL

Active since October 02, 2012
2120 MADISON AVE, SUITE 405, GRANITE CITY, IL 62040(618) 876-0653 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Granite City Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANITE CITY PSYCHIATRY LLC (NPI 1013269984) is a healthcare organization registered as a mental health (including community mental health center) in Granite City, Illinois and active in the NPI registry since October 2012. The organization lists Karl Gundersen, Member, as its authorized official.

NPPES Registry Identity

NPI1013269984
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRANITE CITY PSYCHIATRY LLC
Location Address2120 MADISON AVE, SUITE 405Granite City, IL 62040-4744
Mailing Address2120 Madison Ave, Suite 405Granite City, IL 62040-4744
Phone(618) 876-0653
Organization SubpartNo
Authorized OfficialKarl GundersenMember · (618) 876-0653
Enumeration DateOctober 2, 2012
✔ NPI 1013269984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 036105102
2120 MADISON AVE, Granite City, IL 62040
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINOIS EAR, NOSE AND THROAT ASSOCIATES, P.C
Otolaryngology
2120 MADISON AVE, SUITE 200
GRANITE CITY, IL 62040
Madison County (618) 451-1800
DR. ARIF HABIB MD
Psychiatry & Neurology (Psychiatry)
2120 MADISON AVE, STE 404
GRANITE CITY, IL 62040
Madison County (618) 876-7515
DR. JAMES FERNANDEZ M.D.
Otolaryngology
2120 MADISON AVE, SUITE 200
GRANITE CITY, IL 62040
Madison County (618) 451-1800
MR. KARL RAYMOND GUNDERSEN MD
Psychiatry & Neurology (Psychiatry)
2120 MADISON AVE, STE 405
GRANITE CITY, IL 62040
Madison County (618) 876-0653
DR. JEFFREY FIERSTEIN M.D.
Otolaryngology
2120 MADISON AVE, SUITE 200
GRANITE CITY, IL 62040
Madison County (618) 451-1800
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Psychiatry & Neurology (Psychiatry)
2120 MADISON AVE, SUITE 404
GRANITE CITY, IL 62040
Madison County (618) 876-7515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granite City Psychiatry LLC's NPI number?

The NPI number for Granite City Psychiatry LLC is 1013269984. It was assigned to this organization in the NPPES registry on October 2, 2012.

Where is Granite City Psychiatry LLC located?

Granite City Psychiatry LLC is located at 2120 Madison Ave Suite 405, Granite City, IL 62040. The listed phone number is (618) 876-0653.

What is Granite City Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Granite City Psychiatry LLC was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.