Intraspectrum Counseling, LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007587 Issued in IL

Legal business name

INTRASPECTRUM COUNSELING, LTD.

Practice address

180 N Michigan Ave
Suite 2421
Chicago, IL 60601-7401

Phone

(847) 363-5088

Fax

(773) 961-8804

NPI assigned

May 15, 2010

Organization subpart

No

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

Authorized official

Name

Jamie L. Gayle, PH.D.

Title

President

Phone

(847) 363-5088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273881600000",
    "number": "1124346168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 2421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "847-363-5088",
            "fax_number": "773-961-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 2421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "847-363-5088",
            "fax_number": "773-961-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRASPECTRUM COUNSELING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-15",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-363-5088",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; 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.