Organization Active NPI

Sean Welsh, PSYD LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1235584426
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008552 Issued in IL
Legal business name
SEAN WELSH, PSYD LLC
Practice address
1613 W Huron St
Chicago, IL 60622-5607
Phone
(773) 414-1727
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Sean F Welsh, PSYDNPI 1184087041
Title
Founder/Clinical Psychologist
Phone
(773) 414-1727

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 071.008552 IL Primary

Addresses

Primary practice location

1613 W Huron St
Chicago, IL 60622-5607

Mailing address

1613 W Huron St
Chicago, IL 60622-5607
Phone (773) 414-1727

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1235584426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 W HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225607",
            "telephone_number": "773-414-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 W HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225607",
            "telephone_number": "773-414-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN WELSH, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-414-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008552",
            "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 Apr 26, 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.