Special Needs Psychological Services,Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SPECIAL NEEDS PSYCHOLOGICAL SERVICES,INC.

Practice address

2705 E 83Rd St
Chicago, IL 60617-2007

Phone

(708) 845-6555

Fax

(708) 335-2049

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shirley J. Graham

Title

Administrator

Phone

(708) 845-6555

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Mutazz Haj Darweesh, M.D.

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1205934395
  NPD (past)
• Lisa J Green

  • Family Medicine Physician
  • Harvey, IL
  • NPI 1114973062
  NPD (past)
• Gartrell D King, M.D.

  • Family Medicine Physician
  • Lombard, IL
  • NPI 1962449140
  NPD (past)
• Cynthia L Jones, MD, MPH

  • Family Medicine Physician
  • Utica, NY
  • NPI 1518912641
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043258593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 171ST ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291140",
            "telephone_number": "708-845-6555",
            "fax_number": "708-335-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E 83RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172007",
            "telephone_number": "708-845-6555",
            "fax_number": "708-335-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL NEEDS PSYCHOLOGICAL SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-845-6555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hall Spear III, C.R.C., L.C.P.C.
• Daniel Gyasi Spearman, MD
• Courtenay Chareice Spears, PA-S
• Jordan Marie Specht
• Special Friend Laboratory LLC
• Special Therapy Care, Chartered
• Special Therapy Care, Inc.
• Specialized Assessilng Systems Institute, Corp
• Specialized Assessing Systems Institute, Corp
• Specialized Assistance Recovery LLC

• Adult Day Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.