Embrace the Center for Emotional Wellbeing LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071009049 Issued in IL

Legal business name

EMBRACE THE CENTER FOR EMOTIONAL WELLBEING LLC

Practice address

4305 N Lincoln Ave
Ste M
Chicago, IL 60618-1807

Phone

(824) 216-7793

Fax

(855) 727-4855

NPI assigned

Feb 25, 2017

Organization subpart

No

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

Authorized official

Name

Angela Stebbins, PSYD

Title

Owner

Phone

(827) 216-7793

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1013457951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE",
            "address_2": "STE M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "824-216-7793",
            "fax_number": "855-727-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE",
            "address_2": "STE M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "824-216-7793",
            "fax_number": "855-727-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE THE CENTER FOR EMOTIONAL WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "827-216-7793",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.