Winds of Change, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008054 Issued in IL

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Clinical Psychologist in Cary, IL
• Providers in Cary, IL by specialty
• Clinical Psychologist in Illinois

• 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.

Verify at the official NPI Registry.