Active NPI
Chicago Center for Healthy Minds, PLLC
- Clinical Social Worker
- Lincolnwood, IL
National Provider Identifier
1124654371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHICAGO CENTER FOR HEALTHY MINDS, PLLC
- Practice address
- 4433 W Touhy Ave Ste 206
Lincolnwood, IL 60712-1833 - Phone
- (847) 260-9396
- Fax
- (847) 260-9397
- NPI assigned
- Mar 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Meyer, LCSW
- Title
- Owner, Psychotherapist
- Phone
- (847) 260-9396
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4433 W Touhy Ave Ste 206
Lincolnwood, IL 60712-1833
Mailing address
4433 W Touhy Ave Ste 206
Lincolnwood, IL 60712-1833
Phone (847) 260-9396
National Provider Directory
National Provider DirectoryLocations
4433 W Touhy Ave
Ste 206
Lincolnwood, IL 60712
Phone (773) 570-0770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lincolnwood, IL
- NPI 1013329408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1124654371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4433 W TOUHY AVE STE 206",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121833",
"telephone_number": "847-260-9396",
"fax_number": "847-260-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 W TOUHY AVE STE 206",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121833",
"telephone_number": "847-260-9396",
"fax_number": "847-260-9397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO CENTER FOR HEALTHY MINDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-19",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
"authorized_official_telephone_number": "847-260-9396",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.