Healthcare Provider Details

I. General information

NPI: 1053263269
Provider Name (Legal Business Name): STAY GOLDEN PSYCHIATRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 CUMBERLAND CIR E
ELK GROVE VILLAGE IL
60007-3803
US

IV. Provider business mailing address

2501 N HAYDEN RD STE 103
SCOTTSDALE AZ
85257-2326
US

V. Phone/Fax

Practice location:
  • Phone: 847-217-9106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH WILLIAM HALLORAN
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 847-217-9106