Organization Active NPI

Dr. Leah B. Samler, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1164076204
Registry record updated Jul 26, 2019
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
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

Updated by the provider on Jul 26, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.