Chicagoland Psychologist, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

71006489 Issued in IL

Legal business name

CHICAGOLAND PSYCHOLOGIST, LLC

Practice address

405 N Wabash Ave Unit 4003
Chicago, IL 60611-5683

Phone

(312) 203-2151

Fax

(630) 789-1096

NPI assigned

Apr 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Karaitis, PSY.D.NPI 1154390367

Title

Owner/Clinical Psychologist

Phone

(312) 203-2151

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Karaitis, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1154390367
  NPD (past) Authorized official
• Lawrence Paul Maucieri Jr., PH.D.

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1457427239
  NPD (past)

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

{
    "created_epoch": "1272153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272153600000",
    "number": "1144547571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 4003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115683",
            "telephone_number": "312-203-2151",
            "fax_number": "630-789-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 4003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115683",
            "telephone_number": "312-203-2151",
            "fax_number": "630-789-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-25",
        "last_updated": "2010-04-25",
        "status": "A",
        "authorized_official_last_name": "KARAITIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-203-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71006489",
            "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 Apr 25, 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.