Organization Active NPI

Mary Worden-McGuinness

Doing business as PsychServe Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1255632097
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
071005991 Issued in IL
Legal business name
MARY WORDEN-MCGUINNESS
Doing business as
PsychServe Chicago
Practice address
5310 N Sheridan Rd
Chicago, IL 60640-2514
Phone
(312) 671-4499
Fax
(888) 457-9315
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Mary E Worden-McGuinness, PSYD
Title
Owner
Phone
(312) 671-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071005991 IL Primary

Addresses

Primary practice location

5310 N Sheridan Rd
Chicago, IL 60640-2514

Mailing address

2901 S Michigan Ave Apt 402
Chicago, IL 60616-3297
Phone (312) 671-4499

Other identifiers 2

IdentifierTypeStateIssuer
700122OtherILCHICAGO HEALTH SYSTEM
112100OtherILPSYCHEALTH

Other names 1

  • PsychServe Chicago Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1255632097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S MICHIGAN AVE APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163297",
            "telephone_number": "312-671-4499",
            "fax_number": "888-457-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402514",
            "telephone_number": "312-671-4499",
            "fax_number": "888-457-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WORDEN-MCGUINNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "WORDEN-MCGUINNESS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-671-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071005991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHICAGO HEALTH SYSTEM",
            "identifier": "700122",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHEALTH",
            "identifier": "112100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychServe Chicago",
            "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 Nov 10, 2010; 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.