Active NPI
Caleb Chadwick
- Counseling Psychologist
- Chicago, IL
National Provider Identifier
1104591957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 5340 N Clark St Ste 212
Chicago, IL 60640-2120 - Phone
- (770) 380-8853
- NPI assigned
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
5340 N Clark St Ste 212
Chicago, IL 60640-2120
Mailing address
1447 W Argyle St Apt 1
Chicago, IL 60640-3556
Phone (770) 380-8853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Argonne Center PLLC | Current | Accepting new patients |
Locations
5153 N Clark St
Ste 306
Chicago, IL 60640
Phone (312) 690-3140
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1437898558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1104591957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 W ARGYLE ST APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403556",
"telephone_number": "770-380-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 N CLARK ST STE 212",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402120",
"telephone_number": "770-380-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "CALEB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"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 Aug 13, 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.