Individual provider Active NPI

Latashia Nicole Raymond, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1245984574
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.022456 Issued in IL
Practice address
101 W Grand Ave Ste 200
Chicago, IL 60654-7130
Phone
(630) 866-3836
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 071.022456 IL Primary

Addresses

Primary practice location

101 W Grand Ave Ste 200
Chicago, IL 60654-7130

Mailing address

101 W Grand Ave Ste 200
Chicago, IL 60654-7130
Phone (630) 866-3836

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

State licenses

LicenseStateTypeSpecialty
071.022456ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Lifestyle Solutions, PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

101 W Grand Ave
Ste 200
Chicago, IL 60654
Phone (630) 866-3836

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1245984574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GRAND AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547130",
            "telephone_number": "630-866-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W GRAND AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547130",
            "telephone_number": "630-866-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "LATASHIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022456",
            "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 Feb 12, 2026; 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.