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ILLINOIS ASSOCIATES PSYCHIATRY P C
NPI 1023108875
Psychiatry & Neurology - Psychiatry in Edwardsville, IL

Active since October 13, 2006
103A SOUTH POINTE DRIVE, EDWARDSVILLE, IL 62025(618) 656-2000(618) 656-1169 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Sep 10, 2025, Dec 14, 2015 (3 updates tracked since 2015).

About Illinois Associates Psychiatry P C NPPES

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

ILLINOIS ASSOCIATES PSYCHIATRY P C (NPI 1023108875) is a healthcare organization registered as a psychiatry in Edwardsville, Illinois and active in the NPI registry since October 2006. The organization lists Mark Edward Freeman, Provider, as its authorized official.

NPPES Registry Identity

NPI1023108875
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameILLINOIS ASSOCIATES PSYCHIATRY P C
Location Address103A SOUTH POINTE DRIVEEdwardsville, IL 62025-3780
Mailing Address103 Southpointe Dr Ste AEdwardsville, IL 62025-3780 · (618) 656-2000 · Fax (618) 656-1169
Phone(618) 656-2000
Fax(618) 656-1169
Organization SubpartNo
Authorized OfficialMark Edward FreemanProvider · (618) 656-2000
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1023108875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 060006403
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 060006403 (IL)
103A SOUTH POINTE DRIVE, Edwardsville, IL 62025
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Associates Psychiatry P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Illinois Associates Psychiatry P C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kristin Krebs, LCSW
Clinical Social Worker
NPI 1225021033
103A SOUTH POINTE DRIVE
Edwardsville, IL 62025
(618) 656-2000
✔ PECOS✔ Accepts MedicareSame address
Samuel Keck-Flory, MD
Psychiatry
NPI 1679203756
103 SOUTHPOINTE DR STE A
Edwardsville, IL 62025
(618) 656-2000
✔ PECOS✔ Accepts Medicare6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Illinois Associates Psychiatry P C's NPI number?

The NPI number for Illinois Associates Psychiatry P C is 1023108875. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Illinois Associates Psychiatry P C located?

Illinois Associates Psychiatry P C is located at 103A South Pointe Drive, Edwardsville, IL 62025. The listed phone number is (618) 656-2000.

What is Illinois Associates Psychiatry P C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Illinois Associates Psychiatry P C enrolled in Medicare?

Yes. Illinois Associates Psychiatry P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Associates Psychiatry P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Illinois Associates Psychiatry P C, in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Associates Psychiatry P C was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.