Active NPI
Winds of Change, LLC
- Clinical Psychologist
- Cary, IL
National Provider Identifier
1174968879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008054
- Legal business name
- WINDS OF CHANGE, LLC
- Practice address
- 212 Crystal St
Suite D
Cary, IL 60013-2092 - Phone
- (708) 476-6682
- NPI assigned
- May 8, 2013
- Last updated
- May 8, 2013
- 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. Janette Williams, PSYD
- Title
- Licensed Clinical Psychlogist
- Phone
- (708) 476-6682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008054 | IL | Primary |
Addresses
Primary practice location
212 Crystal St
Suite D
Cary, IL 60013-2092
Mailing address
325 S Old Rand Rd
Lake Zurich, IL 60047-2429
Phone (708) 476-6682
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Naperville, IL
- NPI 1487829768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1174968879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S OLD RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472429",
"telephone_number": "708-476-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CRYSTAL ST",
"address_2": "SUITE D",
"city": "CARY",
"state": "IL",
"postal_code": "600132092",
"telephone_number": "708-476-6682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDS OF CHANGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JANETTE",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHLOGIST",
"authorized_official_telephone_number": "708-476-6682",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.