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)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 036105102 (IL)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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.
Practice location
Mailing address
Registry dates
- 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.