Caroline Bliss Adelman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008925 Issued in IL

Practice address

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

Phone

(773) 697-8839

NPI assigned

Mar 5, 2012

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Caroline Bliss Browne Former name

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Psychotherapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1215330048

  Clinical

  NPD Authorized official

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

{
    "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"
        }
    ]
}

• Adelante, PC
• Funmi Adeleke, DDS
• Ibukunoluwa Oluwayemisi Adeleke, MD
• Arshya Adeli, PT
• Alla Adelkhanova, MD
• Jeremy S Adelman, DPT
• Bunmi Ehis Adelowo, MD
• Jonathan Seth Adelstein, M.D.
• Sarah Ashley Adelstein, MD
• Muna Abdu Adem, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.