Organization Active NPI

Brave Beginning Psychotherapy

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1154085405
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRAVE BEGINNING PSYCHOTHERAPY
Practice address
4433 W Touhy Ave Ste 500
Lincolnwood, IL 60712-1838
Phone
(224) 307-6219
NPI assigned
Oct 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Authorized official

Name
Dr. Corinna Marie Correia, PHDNPI 1669980926
Title
Clinical Psychologist
Phone
(619) 246-2179

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4433 W Touhy Ave Ste 500
Lincolnwood, IL 60712-1838

Mailing address

750 Northwest Hwy Apt 108
Des Plaines, IL 60016-3047
Phone (619) 246-2179

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634947200000",
    "number": "1154085405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NORTHWEST HWY APT 108",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163047",
            "telephone_number": "619-246-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 500",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121838",
            "telephone_number": "224-307-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE BEGINNING PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-246-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, 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 Oct 23, 2021; 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.