Individual provider Active NPI

Rodrigo Sebastian Torres, PHD, MA

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1235847591
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010856 Issued in IL
Practice address
180 N Michigan Ave Ste 1830
Chicago, IL 60601-7407
Phone
(312) 379-9476
Fax
(312) 263-1933
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071010856 IL Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 1830
Chicago, IL 60601-7407

Mailing address

221 E Cullerton St Apt 925
Chicago, IL 60616-1493
Phone (312) 925-2226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address storres@intraspectrum-chicago.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071010856ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1235847591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CULLERTON ST APT 925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161493",
            "telephone_number": "312-925-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1830",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017407",
            "telephone_number": "312-379-9476",
            "fax_number": "312-263-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "RODRIGO",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "PHD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "storres@intraspectrum-chicago.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "180 N Michigan Ave Ste 1830",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 7, 2022; 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.