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FORT HEALTH MEDICAL GROUP PA
NPI 1972342046
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, IL

Active since May 20, 2024
600 S 2ND ST STE 404, SPRINGFIELD, IL 62704(201) 208-2616(973) 381-5773 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 26, 2025, Oct 10, 2024 (2 updates tracked since 2024).

About Fort Health Medical Group Pa NPPES

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

FORT HEALTH MEDICAL GROUP PA (NPI 1972342046), doing business as Fort Health Medical Group Of Il, is a healthcare organization registered as a child & adolescent psychiatry in Springfield, Illinois and active in the NPI registry since May 2024. The organization lists Traci Crosby, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1972342046
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameFORT HEALTH MEDICAL GROUP PA
Location Address600 S 2ND ST STE 404Springfield, IL 62704-2542
Mailing Address613 Washington Blvd # 1297Jersey City, NJ 07310-2900 · (201) 208-2616 · Fax (973) 381-5773
Phone(201) 208-2616
Fax(973) 381-5773
Organization SubpartNo
Authorized OfficialTraci CrosbyCredentialing Manager · (201) 503-4815
Enumeration DateMay 20, 2024
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1972342046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
600 S 2ND ST STE 404, Springfield, IL 62704
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Other Names 1

Doing Business AsFort Health Medical Group Of Il

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

FOREFRONT-KHATKHATE MEDICAL SERVICES PC
Psychiatry & Neurology (Psychiatry)
600 S 2ND ST STE 404
SPRINGFIELD, IL 62704
Sangamon County (510) 201-0190
ADRIENNE MOCOGNI
Social Worker (Clinical)
600 S 2ND ST STE 404
SPRINGFIELD, IL 62704
Sangamon County (415) 403-2156
LAURIE WESSELMANN LCPC
Counselor
600 S 2ND ST STE 404
SPRINGFIELD, IL 62704
Sangamon County (800) 318-3963

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 Fort Health Medical Group PA's NPI number?

The NPI number for Fort Health Medical Group PA is 1972342046. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Fort Health Medical Group of IL.

Where is Fort Health Medical Group PA located?

Fort Health Medical Group PA is located at 600 S 2nd St Ste 404, Springfield, IL 62704. The listed phone number is (201) 208-2616.

What is Fort Health Medical Group PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Fort Health Medical Group PA was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.