Center for Psychological Well Being and Empowerment

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT

Practice address

2858 W Diversey Ave
Chicago, IL 60647-1871

Phone

(312) 374-6621

NPI assigned

Nov 28, 2021

Last updated

Nov 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Azadeh Fatemi, PH.DNPI 1205263662

Title

Psychologist

Phone

(573) 201-7742

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azadeh Fatemi, PHD.

  • Psychologist
  • Chicago, IL
  • NPI 1205263662
  NPD Authorized official
• Dia Anjali Mason

  • Psychologist
  • Chicago, IL
  • NPI 1235750860
  NPD (past)

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1063179901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 W RASCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561736",
            "telephone_number": "573-201-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471871",
            "telephone_number": "312-374-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "FATEMI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-201-7742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Neurological Disorders S,C
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• Center for Personal Development
• Center for Personal Wellness, LLC
• Center for Recovery & Growth, LLC
• Center for Relational Wholeness LTD
• Center for Religion & Psychotherapy of Chicago
• Center for Religion and Psychotherapy
• Center for Reproductive Healing, PLLC

• 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 Nov 28, 2021; 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.