Active NPI
Cleminson Psychological Services, PLLC
- Clinical Psychologist
- Skokie, IL
National Provider Identifier
1184258808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CLEMINSON PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 9933 Lawler Ave Ste 324
Skokie, IL 60077-3730 - Phone
- (312) 343-3432
- NPI assigned
- Mar 3, 2020
- 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. Monique Cleminson, PSYD
- Title
- Clinical Psychologist
- Phone
- (312) 343-3432
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
9933 Lawler Ave Ste 324
Skokie, IL 60077-3730
Mailing address
155 N Michigan Ave Ste 721
Chicago, IL 60601-7707
Phone (312) 343-3432
Other practice location 1
155 N Michigan Ave Ste 721
Chicago, IL 60601-7707
Phone (312) 343-3432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932231461 | Other | IL | TYPE I NPI |
Other names 1
- Open Mind Therapy Center
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.
-
- Clinical Psychologist
- Skokie, IL
- NPI 1932231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1184258808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 721",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017707",
"telephone_number": "312-343-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 LAWLER AVE STE 324",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773730",
"telephone_number": "312-343-3432"
}
],
"practiceLocations": [
{
"address_1": "155 N Michigan Ave Ste 721",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606017707",
"country_code": "US",
"telephone_number": "312-343-3432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLEMINSON PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A",
"authorized_official_last_name": "CLEMINSON",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "312-343-3432",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1932231461",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Mind Therapy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.