Active NPI
Chicago Center for Growth and Change, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1255793360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008093
- Legal business name
- CHICAGO CENTER FOR GROWTH AND CHANGE, LLC
- Practice address
- 25 E Washington St Ste 1717
Chicago, IL 60602-1839 - Phone
- (312) 566-8536
- NPI assigned
- Mar 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jodie Erin Singer, PSY.D., M.A.
- Title
- Clinical Psychologist
- Phone
- (312) 566-8536
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008093 | IL | Primary |
Addresses
Primary practice location
25 E Washington St Ste 1717
Chicago, IL 60602-1839
Mailing address
5246 W Carmen Ave
Chicago, IL 60630-2211
Phone (312) 566-8536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
150 N Michigan Ave
Ste 800
Chicago, IL 60601
Phone (312) 566-8536
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1720394356
-
- Clinical Psychologist
- Chicago, IL
- NPI 1033630959
-
- Clinical Psychologist
- Chicago, IL
- NPI 1114784501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1255793360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5246 W CARMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302211",
"telephone_number": "312-566-8536",
"fax_number": "888-416-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 1717",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021839",
"telephone_number": "312-566-8536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO CENTER FOR GROWTH AND CHANGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-28",
"last_updated": "2023-07-21",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "JODIE",
"authorized_official_middle_name": "ERIN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "312-566-8536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D., M.A."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Chicago Center for Growth and Change Concierge Therapy, LLC
- Chicago Center for Integration and Healing LTD
- Chicago Center for Psychological Services, LLC
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- Chicago Center for Relational Health
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.