Dr Savage Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007819 Issued in IL

Legal business name

DR SAVAGE PSYCHOLOGICAL SERVICES PC

Practice address

2550 Crawford Ave Ste 12
Evanston, IL 60201-4987

Phone

(773) 332-7434

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Amy Savage, PSY DNPI 1457599987

Title

Owner

Phone

(847) 227-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• Amy Lynn Luer Savage, PSY.D.

  • Psychologist
  • Chicago, IL
  • NPI 1457599987
  Medicare reassignment Care Compare group NPD Authorized official
• James J Guidi, PSY.D.

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1568572980
  Medicare reassignment Care Compare group NPD
• Sarah Rebecca Safron-Chiu, LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1184873150
  NPD
• Kevin Patrick McClone, PSY.D.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1588772198
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1114359213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N KEDVALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304305",
            "telephone_number": "773-332-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CRAWFORD AVE STE 12",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014987",
            "telephone_number": "773-332-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAVAGE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-227-8400",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.