Organization Active NPI

Streeterville Psychotherapy Van Alphen & Thames

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1225260813
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STREETERVILLE PSYCHOTHERAPY VAN ALPHEN & THAMES
Practice address
233 E Erie St
Suite 309
Chicago, IL 60611-2926
Phone
(312) 513-8505
NPI assigned
Aug 14, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Dawn B Van Alphen, PSY.D.NPI 1558504829
Title
Clinical Psychology Post-Doc Fellow
Phone
(312) 513-8505

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

233 E Erie St
Suite 309
Chicago, IL 60611-2926

Mailing address

233 E Erie St
Suite 309
Chicago, IL 60611-2926
Phone (312) 513-8505

National Provider Directory

National Provider Directory

Locations

233 E Erie St
Ste 309
Chicago, IL 60611
Phone (312) 513-8505

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.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1225260813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112926",
            "telephone_number": "312-513-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112926",
            "telephone_number": "312-513-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETERVILLE PSYCHOTHERAPY VAN ALPHEN & THAMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "VAN ALPHEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGY POST-DOC FELLOW",
        "authorized_official_telephone_number": "312-513-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 2009; 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.