Active NPI
Headway Counseling, PC
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006177
- Legal business name
- HEADWAY COUNSELING, PC
- Practice address
- 30 N Michigan Ave
900
Chicago, IL 60602-3402 - Phone
- (773) 301-8134
- NPI assigned
- Oct 8, 2012
- Last updated
- Oct 8, 2012
- 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. Daniel Kaplan, PH.D.
- Title
- President
- Phone
- (773) 301-8134
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 | 071006177 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave
900
Chicago, IL 60602-3402
Mailing address
30 N Michigan Ave
900
Chicago, IL 60602-3402
Phone (773) 301-8134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013929538 | Other | IL | INDIVIDUAL PRACTIONER NPI |
National Provider Directory
National Provider DirectoryLocations
30 N Michigan Ave
Ste 900
Chicago, IL 60602
Phone (773) 301-8134
Practitioners & 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
- Chicago, IL
- NPI 1013929538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349654400000",
"number": "1184976680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "773-301-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "773-301-8134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADWAY COUNSELING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A",
"authorized_official_last_name": "KAPLAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-301-8134",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PRACTIONER NPI",
"identifier": "1013929538",
"state": "IL"
}
],
"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 Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.