Bernard P Chapin, SCHOOL PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

542289 Issued in IL

Practice address

6820 S Washtenaw Ave
Chicago, IL 60629-1826

Phone

(773) 548-8705

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1154964146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 33RD AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463421210",
            "telephone_number": "773-972-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 S WASHTENAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291826",
            "telephone_number": "773-548-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "BERNARD",
        "middle_name": "P",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "542289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS ELIS LICENCE NUMBER",
            "identifier": "542289",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpchapin@cps.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "How to get a hold of me",
            "address_1": "6820 S Washtenaw Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606291826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bianca Aida Chapa, OTD, OTR/L
• Usha Chapala Gopal, PT
• Pravalya Chaparala
• Madeline Chaparro, MSW, LSW
• Maria Chapekis, M.S. CCC-SLP
• Cate Chapin
• Catherine Ann Chapin, MD
• Jordan Chaplik, LCSW, PLLC
• Kelly Chaplin
• Claire Christine Chaplinsky, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.