Organization Active NPI

Psychological Pathways, LLC

  • Psychologist
  • Arlington Heights, IL
National Provider Identifier
1043478621
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-006159 Issued in IL
Legal business name
PSYCHOLOGICAL PATHWAYS, LLC
Practice address
3800 N Wilke Rd
Suite 160
Arlington Heights, IL 60004-1278
Phone
(847) 577-0881
Fax
(847) 342-0378
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Adam Gregory Crane, PSY.D.
Title
Manager/Licensed Clinical Psycholog
Phone
(847) 577-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071-006159 IL Primary

Addresses

Primary practice location

3800 N Wilke Rd
Suite 160
Arlington Heights, IL 60004-1278

Mailing address

3025 Parkside Dr
Highland Park, IL 60035-1038
Phone (847) 577-0881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1043478621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 PARKSIDE DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351038",
            "telephone_number": "847-577-0881",
            "fax_number": "847-342-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N WILKE RD",
            "address_2": "SUITE 160",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041278",
            "telephone_number": "847-577-0881",
            "fax_number": "847-342-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER/LICENSED CLINICAL PSYCHOLOG",
        "authorized_official_telephone_number": "847-577-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-006159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.