Active NPI
Dr. Leah B. Samler, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1164076204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- DR. LEAH B. SAMLER, LLC
- Practice address
- 53 W Jackson Blvd Ste 635
Chicago, IL 60604-3455 - Phone
- (773) 482-1498
- NPI assigned
- Jul 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leah B Samler, PSY.D.
- Title
- Therapist/Counselor
- Phone
- (773) 297-5561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
53 W Jackson Blvd Ste 635
Chicago, IL 60604-3455
Mailing address
2147 N Humboldt Blvd Apt 1
Chicago, IL 60647-1392
Phone (773) 297-5561
National Provider Directory
National Provider DirectoryLocations
53 W Jackson Blvd
Ste 635
Chicago, IL 60604
Phone (312) 725-9745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564099200000",
"number": "1164076204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 N HUMBOLDT BLVD APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471392",
"telephone_number": "773-297-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W JACKSON BLVD STE 635",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043455",
"telephone_number": "773-482-1498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. LEAH B. SAMLER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A",
"authorized_official_last_name": "SAMLER",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "THERAPIST/COUNSELOR",
"authorized_official_telephone_number": "773-297-5561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"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": []
}
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 Jul 26, 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.