NPIMap

Organization Active NPI

Vita Nova PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1255718094
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008461 Issued in IL
Legal business name
VITA NOVA PLLC
Practice address
307 N Michigan Ave Ste 1014
Chicago, IL 60601-5310
Phone
(773) 234-3258
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Francesco BelvisoNPI 1487998209
Title
Manager
Phone
(773) 234-3258

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071008461 IL Primary

Addresses

Primary practice location

307 N Michigan Ave Ste 1014
Chicago, IL 60601-5310

Mailing address

307 N Michigan Ave Ste 1014
Chicago, IL 60601-5310
Phone (773) 234-3258

National Provider Directory

National Provider Directory

Locations

307 N Michigan Ave
Ste 1014
Chicago, IL 60601
Phone (773) 231-0667

636 Church St
Ste 409
Evanston, IL 60201
Phone (847) 328-8886

Practitioners & affiliated clinicians

Practitioners 6

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": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1255718094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MICHIGAN AVE STE 1014",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015310",
            "telephone_number": "773-234-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MICHIGAN AVE STE 1014",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015310",
            "telephone_number": "773-234-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA NOVA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "BELVISO",
        "authorized_official_first_name": "FRANCESCO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-234-3258",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008461",
            "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 Oct 15, 2024; 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.