Individual provider Active NPI

Anna Zettel, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1134547011
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008780 Issued in IL
Practice address
5138 N Clark St FL 2
Chicago, IL 60640
Phone
(847) 804-6101
NPI assigned
Mar 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008780 IL Primary

Addresses

Primary practice location

5138 N Clark St FL 2
Chicago, IL 60640

Mailing address

5138 N Clark St FL 2
Chicago, IL 60640-2828

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008780ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Counseling Chicago, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

2150 W Lawrence Ave
Ste A
Chicago, IL 60625
Phone (773) 887-6447

2010 N Damen Ave
Unit F
Chicago, IL 60647
Phone (708) 692-1696

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.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1134547011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 N CLARK ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 N CLARK ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "847-804-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "5138 N Clark St Fl 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 25, 2020; 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.