Integrative Psychological Healthcare Center

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

071007352 Issued in IL

Legal business name

INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER

Practice address

3100 N Sheridan Rd
Apt. 9E
Chicago, IL 60657-4954

Phone

(877) 571-5579

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Christian Hardie, PHDNPI 1376732255

Title

Clinical Director

Phone

(312) 810-5646

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• John Christian Hardie, PH.D.

  • Psychologist
  • Chicago, IL
  • NPI 1376732255
  NPD (past) Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1063789220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N SHERIDAN RD",
            "address_2": "APT. 9E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574954",
            "telephone_number": "877-571-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N SHERIDAN RD",
            "address_2": "APT. 9E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574954",
            "telephone_number": "877-571-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "HARDIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "312-810-5646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071007352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JOHN C. HARDIE INDIVIDUAL PROVIDER",
            "identifier": "1376732255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Integrative Psyche Services, S.C.
• Integrative Psychological Services of Chicago, Inc.
• Integrative Psychotherapy Solutions, LLC
• Integrity Health of Illinois
• Integrity Loving Care LLC.
• Integrity Medical and Wounds Group Il RLLP

• Health Service Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.