NPIMap

Organization Active NPI

Springsource Psychological Center PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1033735550
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SPRINGSOURCE PSYCHOLOGICAL CENTER PLLC
Practice address
53 W Jackson Blvd Ste 520
Chicago, IL 60604-3433
Phone
(224) 202-6260
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Susan Foti McClanahan, PH.D.NPI 1598878282
Title
Clinical Psychologist
Phone
(312) 337-6064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 520
Chicago, IL 60604-3433

Mailing address

1770 Harrison St
Glenview, IL 60025-5065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260402000875 IL Part B Supplier - Clinic/Group Practice 6901381490 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Springsource Psychological Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1033735550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 HARRISON ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043433",
            "telephone_number": "224-202-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGSOURCE PSYCHOLOGICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FOTI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-337-6064",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.