Howard Brown Health Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HOWARD BROWN HEALTH CENTER

Practice address

4025 N Sheridan Rd
Chicago, IL 60613-2010

Phone

(773) 388-8909

NPI assigned

Jan 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward FajardoNPI 1306816400

Title

Clinical Psychologist

Phone

(773) 388-8909

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, and the practitioner matching its NPPES authorized official.

• Edward J Fajardo, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1306816400
  Authorized official Same address or phone

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215917109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W GORDON TER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135700",
            "telephone_number": "773-296-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132010",
            "telephone_number": "773-388-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD BROWN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-388-8909"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Hovey
• Elsie How
• Howard Area Commuity Center
• Howard Brown Health Center (Howard Brown Health 63rd St Oral Health Services)
• Howard Brown Health Center (Howard Brown Health Counseling Center)
• Howard Brown Health Center
• Howard Brown Health Center
• Howard Brown Health Center (Howard Brown Health at TPAN)
• Howard Brown Health Center
• Howard Brown Health Center (Howard Brown Health at La Casa Norte)

• 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 Aug 22, 2020; 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.