Organization Active NPI

Stacy Papangelis, Ma, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1154987410
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STACY PAPANGELIS, MA, PLLC
Practice address
3600 N. Lake Shore Drive
2615
Chicago, IL 60613-4679
Phone
(312) 206-7466
NPI assigned
May 13, 2019
Organization subpart
Yes
Parent organization
STACY PAPANGELIS, MA, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Stacy Papangelis, MANPI 1316385701
Title
Owner
Phone
(312) 206-7466

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3600 N. Lake Shore Drive
2615
Chicago, IL 60613-4679

Mailing address

3600 N. Lake Shore Drive
2615
Chicago, IL 60613-4679
Phone (312) 206-7466

Other practice location 1

1010 Jorie Blvd Ste 102
Oak Brook, IL 60523-2259
Phone (312) 206-7466

Other names 1

  • Stacy Papangelis LCPC, LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Stacy Papangelis Ma PLLC

Locations

3047 N Lincoln Ave
Unit 438
Chicago, IL 60657

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": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1154987410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N. LAKE SHORE DRIVE",
            "address_2": "2615",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134679",
            "telephone_number": "312-206-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N. LAKE SHORE DRIVE",
            "address_2": "2615",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134679",
            "telephone_number": "312-206-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Jorie Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605232259",
            "country_code": "US",
            "telephone_number": "312-206-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STACY PAPANGELIS, MA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STACY PAPANGELIS, MA, PLLC",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "PAPANGELIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-206-7466",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy Papangelis LCPC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.