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Organization Active NPI

Justine Olson Pyter, Inc

  • Community/Behavioral Health Agency
  • Wilmette, IL
National Provider Identifier
1265829014
Registry record updated Apr 20, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
071008757 Issued in IL
Legal business name
JUSTINE OLSON PYTER, INC
Practice address
3330 Old Glenview Rd
Suite 5
Wilmette, IL 60091-2963
Phone
(773) 800-1791
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Justine Marie Olson Pyter, PSYD
Title
President
Phone
(814) 594-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 071008757 IL Primary

Addresses

Primary practice location

3330 Old Glenview Rd
Suite 5
Wilmette, IL 60091-2963

Mailing address

4942 N Harding Ave
Unit G
Chicago, IL 60625-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1265829014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 N HARDING AVE",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "SUITE 5",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "773-800-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE OLSON PYTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "OLSON PYTER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-594-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.