NPIMap

Organization Active NPI

Center for Behavioral Medicine, LTD

Doing business as ChicagoCBM

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1225377294
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007823 Issued in IL
Legal business name
CENTER FOR BEHAVIORAL MEDICINE, LTD
Doing business as
ChicagoCBM
Practice address
25 E Washington St
Ste 1025
Chicago, IL 60602-1708
Phone
(312) 569-0285
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Dr. Kristina M Pecora, PSYD
Title
Psychologist
Phone
(312) 569-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071007823 IL Primary

Addresses

Primary practice location

25 E Washington St
Ste 1025
Chicago, IL 60602-1708

Mailing address

25 E Washington St
Ste 1025
Chicago, IL 60602-1708
Phone (312) 569-0285

Other names 1

  • ChicagoCBM Doing business as

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 1025
Chicago, IL 60602
Phone (312) 498-1166

25 E Washington St
Ste 1012
Chicago, IL 60602
Phone (319) 431-0173

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1225377294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-569-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-569-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "PECORA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-569-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChicagoCBM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 2016; 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.