Dr. Logan Stohle, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. LOGAN STOHLE, LLC

Practice address

3139 N Lincoln Ave Ste 210a
Chicago, IL 60657-3122

Phone

(847) 636-9528

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Logan Stohle, PSYDNPI 1689198251

Title

Clinical Psychologist

Phone

(847) 636-9528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Logan Stohle

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1689198251
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1194599902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 W SHAKESPEARE AVE UNIT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573122",
            "telephone_number": "847-636-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LOGAN STOHLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "STOHLE",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-636-9528",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 13, 2023; 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.