What is Granite City Psychiatry LLC's NPI number?

Granite City Psychiatry LLC's National Provider Identifier (NPI) is 1013269984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Granite City Psychiatry LLC?

Granite City Psychiatry LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).

Where is Granite City Psychiatry LLC located?

Granite City Psychiatry LLC's practice location on file with NPPES is 2120 Madison Ave, Granite City, IL 62040-4744.

What is Granite City Psychiatry LLC's phone number?

The practice phone number listed in the NPPES registry for Granite City Psychiatry LLC is (618) 876-0653.

Who is the authorized official for Granite City Psychiatry LLC?

The authorized official listed on Granite City Psychiatry LLC's NPPES record is Karl Gundersen, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Granite City Psychiatry LLC's NPI active?

Yes — Granite City Psychiatry LLC's NPI (1013269984) is active in the NPPES registry as of the last update on 2012-10-02.

OrganizationActive

Granite City Psychiatry LLC

NPI 1013269984 · Mental Health Clinic/Center (Including Community Mental Health Center) · Granite City, IL

Granite City Psychiatry LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Granite City, IL (NPI 1013269984).

Provider details

NPI number: 1013269984
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Karl Gundersen, Member(618) 876-0653
License: 036105102 (IL)

Practice location

2120 Madison Ave

Suite 405

Granite City, IL 62040-4744

Phone: (618) 876-0653

Street-level locationGet directions

More IL providers

Mailing address

2120 Madison Ave

Granite City, IL 62040-4744

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 036105102 (IL)
Ambulatory Health Care Facilities

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2012-10-02
Last updated: 2012-10-02

Frequently asked questions

What is Granite City Psychiatry LLC's NPI number?: Granite City Psychiatry LLC's National Provider Identifier (NPI) is 1013269984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Granite City Psychiatry LLC?: Granite City Psychiatry LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
Where is Granite City Psychiatry LLC located?: Granite City Psychiatry LLC's practice location on file with NPPES is 2120 Madison Ave, Granite City, IL 62040-4744.
What is Granite City Psychiatry LLC's phone number?: The practice phone number listed in the NPPES registry for Granite City Psychiatry LLC is (618) 876-0653.
Who is the authorized official for Granite City Psychiatry LLC?: The authorized official listed on Granite City Psychiatry LLC's NPPES record is Karl Gundersen, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Granite City Psychiatry LLC's NPI active?: Yes — Granite City Psychiatry LLC's NPI (1013269984) is active in the NPPES registry as of the last update on 2012-10-02.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions