Cami Kristen McBride, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007073 Issued in IL

Practice address

430 S Michigan Ave
Gage BLDG Suite 400
Chicago, IL 60605-1315

Phone

(708) 275-3240

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CKM Psychological Services PLLC

  • Community/Behavioral Health Agency
  • Oak Park, IL
  • NPI 1760236343
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1194150821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MICHIGAN AVE",
            "address_2": "GAGE BLDG SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051315",
            "telephone_number": "708-275-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MICHIGAN AVE",
            "address_2": "GAGE BLDG SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051315",
            "telephone_number": "708-275-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CAMI",
        "middle_name": "KRISTEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacha McBain, PHD
• Alannah McBreen
• Carrie Ann McBreen, M.S. CCC-SLP
• Abigail McBride
• Alyssa McBride, MD
• Hayden Douglas McBride, MD
• John Mark McBride
• Justine Marie McBride, LCSW
• Latoyia Nacole McBride, DOULA
• Laura McBride, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.