Center for Personal Development

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005565 Issued in IL

Legal business name

CENTER FOR PERSONAL DEVELOPMENT

Practice address

444 N Michigan Ave
Suite 1820
Chicago, IL 60611

Phone

(312) 755-7000

Fax

(312) 755-7001

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven M Nakisher, PSYDNPI 1437199098

Title

Owner

Phone

(312) 755-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Steven M Nakisher, PSYD

  • Psychologist
  • Chicago, IL
  • NPI 1437199098
  NPD (past) Authorized official
• Kenneth Adam Fogel, PSY D

  • Clinical Psychologist
  • Burr Ridge, IL
  • NPI 1033121124
  NPD (past)
• Mia M. Gregor, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1124201017
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1063461069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE",
            "address_2": "SUITE 1820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-755-7000",
            "fax_number": "312-755-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE",
            "address_2": "SUITE 1820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-755-7000",
            "fax_number": "312-755-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PERSONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "NAKISHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-755-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21623432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Medical Services LLC
• Center for Modern Relationships PLLC
• Center for Neurological Disorders S,C
• Center for Neuropsychological Assessment, PLLC
• Center for Orthopedic and Rehabilitation Excellence LLC
• Center for Personal Wellness, LLC
• Center for Psychological Well Being and Empowerment
• Center for Recovery & Growth, LLC
• Center for Relational Wholeness LTD
• Center for Religion & Psychotherapy of Chicago

• 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 Jun 5, 2014; 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.