Organization Active NPI

Dr Brian Ragsdale and Associates PC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1124356696
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
073000058 Issued in IL
Legal business name
DR BRIAN RAGSDALE AND ASSOCIATES PC
Practice address
166 W Washington St
Suite, 730
Chicago, IL 60602-2311
Phone
(312) 551-9300
Fax
(312) 551-9313
NPI assigned
Nov 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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

Authorized official

Name
Brian Lewis Ragsdale, PHD
Title
Ceo/President
Phone
(312) 551-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 073000058 IL Primary

Addresses

Primary practice location

166 W Washington St
Suite, 730
Chicago, IL 60602-2311

Mailing address

166 W Washington St
Suite, 730
Chicago, IL 60602-2311
Phone (312) 551-9300

Other names 1

  • Talk It Out (TM) Doing business as

National Provider Directory

National Provider Directory

Locations

166 W Washington St
Ste 730
Chicago, IL 60602
Phone (312) 551-9300

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": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258848000000",
    "number": "1124356696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W WASHINGTON ST",
            "address_2": "SUITE, 730",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022311",
            "telephone_number": "312-551-9300",
            "fax_number": "312-551-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W WASHINGTON ST",
            "address_2": "SUITE, 730",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022311",
            "telephone_number": "312-551-9300",
            "fax_number": "312-551-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN RAGSDALE AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "312-551-9300",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "073000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talk It Out (TM)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2009; 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.