Organization Active NPI

Sara Dittoe Barrett, PHD, Psychological Services, LTD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1104465863
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SARA DITTOE BARRETT, PHD, PSYCHOLOGICAL SERVICES, LTD
Practice address
5100 N Ravenswood Ave Ste 238
Chicago, IL 60640-1752
Phone
(847) 942-5652
NPI assigned
Dec 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Authorized official

Name
Dr. Sara Dittoe Barrett, PHDNPI 1720397474
Title
Clinical Psychologist / Owner
Phone
(847) 942-5652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5100 N Ravenswood Ave Ste 238
Chicago, IL 60640-1752

Mailing address

5100 N Ravenswood Ave Ste 238
Chicago, IL 60640-1752

National Provider Directory

National Provider Directory

Locations

5100 N Ravenswood Ave
Ste 238
Chicago, IL 60640
Phone (773) 234-0513

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1104465863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 238",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 238",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401752",
            "telephone_number": "847-942-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA DITTOE BARRETT, PHD, PSYCHOLOGICAL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "DITTOE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "847-942-5652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.