Caroline Bliss Adelman, PHD – Clinical Psychologist

Key facts

NPI: 1144594474
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 071.008925 (IL)
Practice address: 1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395
Phone: (773) 697-8839
NPI assigned: Mar 5, 2012
Sex: Female
Sole proprietor: No

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.

Chicago Psychotherapy, PLLC Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL · NPI 1215330048

NPD Authorized official CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Opted out of Medicare: Yes, effective Jan 15, 2021 through Jan 15, 2027

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
071.008925	IL	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Chicago Psychotherapy, PLLC	Clinical	Current since Aug 1, 2021	Accepting new patients

Locations

1901 N Clybourn Ave
Ste 302
Chicago, IL 60614
Phone (773) 697-8839

1925 N Clybourn Ave
Ste 300
Chicago, IL 60614
Phone (773) 697-8839

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Child & Adolescent Psychologist	103TC2200X	071.008925	IL
Clinical Psychologist	103TC0700X	071.008925	IL	Yes

Addresses

Primary practice location

1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395

Mailing address

1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395
Phone (773) 697-8839

Other practice location 1

945 W George St
Suite 206
Chicago, IL 60657-5893
Phone (773) 328-2025

Other practice location 2

1901 N Clybourn Ave Ste 302
Chicago, IL 60614-6808
Phone (773) 697-8839

Other names

Caroline Bliss Browne Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2021.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1144594474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N CLYBOURN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147395",
            "telephone_number": "773-697-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N CLYBOURN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147395",
            "telephone_number": "773-697-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W George St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575893",
            "country_code": "US",
            "telephone_number": "773-328-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Clybourn Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606146808",
            "country_code": "US",
            "telephone_number": "773-697-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "CAROLINE",
        "middle_name": "BLISS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.008925",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "BROWNE",
            "middle_name": "BLISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

All providers in Chicago, IL · Clinical Psychologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Opt Out Affidavits (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.