1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Psychiatry Neurology
  6. NPI Profile

DECATUR PSYCHIATRY LTD
NPI 1770638686
Psychiatry & Neurology - Psychiatry in Decatur, IL

Active since January 24, 2007
2580 E FEDERAL DR STE 403, DECATUR, IL 62526(217) 809-0429(217) 422-0041 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, May 17, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Decatur Psychiatry Ltd NPPES

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

DECATUR PSYCHIATRY LTD (NPI 1770638686) is a healthcare organization registered as a psychiatry in Decatur, Illinois and active in the NPI registry since January 2007. The organization lists Anjum Bashir, Owner, as its authorized official.

NPPES Registry Identity

NPI1770638686
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDECATUR PSYCHIATRY LTD
Location Address2580 E FEDERAL DR STE 403Decatur, IL 62526-2189
Mailing Address2580 E Federal Dr Ste 403Decatur, IL 62526-2189 · (217) 809-0429 · Fax (217) 422-0041
Phone(217) 809-0429
Fax(217) 422-0041
Organization SubpartNo
Authorized OfficialAnjum BashirOwner · (217) 809-0429
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1770638686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036105848
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.
2580 E FEDERAL DR STE 403, Decatur, IL 62526
Open in Google Maps ↗

Other Identifiers 2

Medicaid036105848IL
Other213272IL · Medicare

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 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)

Decatur Psychiatry Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Decatur Psychiatry Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anjum Bashir, M.D.
Psychiatry
NPI 1568440683
2580 E FEDERAL DR STE 403
Decatur, IL 62526
(217) 809-0429
✔ PECOS✔ Accepts MedicareSame address
Amanda Fisher, LCSW
Clinical Social Worker
NPI 1942053616
2580 E FEDERAL DR STE 403
Decatur, IL 62526
(217) 422-0027
✔ PECOS✔ Accepts MedicareSame address
Annie Smith, L.C.S.W.
Clinical Social Worker
NPI 1902340730
1770 E LAKE SHORE DR #209
Decatur, IL 62521
(217) 423-6500
✔ PECOS✔ Accepts Medicare4.3 mi
Beverly Matthews, PSYD
Clinical Psychologist
NPI 1558463760
3517 CARNOUSTIE DR
Springfield, IL 62712
(217) 529-4851
✔ PECOS✔ Accepts Medicare37 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 Decatur Psychiatry Ltd's NPI number?

The NPI number for Decatur Psychiatry Ltd is 1770638686. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Decatur Psychiatry Ltd located?

Decatur Psychiatry Ltd is located at 2580 E Federal Dr Ste 403, Decatur, IL 62526. The listed phone number is (217) 809-0429.

What is Decatur Psychiatry Ltd's specialty?

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

Is Decatur Psychiatry Ltd enrolled in Medicare?

Yes. Decatur Psychiatry Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Decatur Psychiatry Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Decatur Psychiatry Ltd, in Clinical Psychologist, 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, 2 practice at this address and 3 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 Decatur Psychiatry Ltd was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.