Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Decatur Psychiatry Ltd

Organization Psychiatry Physician · NPI 1770638686

Decatur Psychiatry Ltd is a Psychiatry Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2580 E Federal Dr Ste 403
Decatur, IL 62526-2189
Phone: (217) 809-0429
Fax: (217) 422-0041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036105848 (IL)

Record details

NPI number1770638686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anjum Bashir — Owner · (217) 809-0429
NPI enumeratedJanuary 24, 2007
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address2580 E Federal Dr Ste 403, Decatur, IL 62526-2189

Other providers in Decatur