Good Night Sleep Treatment, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008089

Legal business name

GOOD NIGHT SLEEP TREATMENT, LLC

Practice address

467 W Erie St
Chicago, IL 60654-5704

Phone

(312) 337-9900

NPI assigned

Sep 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Medalie

Title

Clinical Psychologist

Phone

(312) 337-9900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1003190737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT SLEEP TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "MEDALIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-337-9900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": "071.008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Chicago, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.