Megan E. Pietrucha, Psy.D., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071008783 Issued in IL

Legal business name

MEGAN E. PIETRUCHA, PSY.D., LLC

Practice address

70 E Lake St Ste 222
Chicago, IL 60601-7649

Phone

(773) 609-5855

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Megan E. Pietrucha, PSY.D.

Title

Clinical Psychologist

Phone

(773) 609-5855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1154704682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017649",
            "telephone_number": "773-609-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017649",
            "telephone_number": "773-609-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN E. PIETRUCHA, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "PIETRUCHA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-609-5855",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071008783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.