NPIMap

Organization Active NPI

Bridgepoint Psychology Center Inc.

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1265919039
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
BRIDGEPOINT PSYCHOLOGY CENTER INC.
Practice address
5547 N Ravenswood Ave Ste 201
Chicago, IL 60640-1125
Phone
(773) 634-8112
NPI assigned
Jul 25, 2018
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mrs. Rachael Laray Calton
Title
Director of Operations & Insurance
Phone
(847) 502-7277

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary
Clinical Psychologist 103TC0700X
Clinical Child & Adolescent Psychologist 103TC2200X
Family Psychologist 103TF0000X
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

5547 N Ravenswood Ave Ste 201
Chicago, IL 60640-1125

Mailing address

5547 N Ravenswood Ave Ste 201
Chicago, IL 60640-1125
Phone (773) 634-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612000905 IL Part B Supplier - Clinic/Group Practice 6406278845 Receives reassigned benefits from 9 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1300 W Belmont Ave
Ste 12
Chicago, IL 60657

5547 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (773) 349-2466

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1265919039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 N RAVENSWOOD AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401125",
            "telephone_number": "773-634-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 N RAVENSWOOD AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401125",
            "telephone_number": "773-634-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPOINT PSYCHOLOGY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "CALTON",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "LARAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & INSURANCE",
        "authorized_official_telephone_number": "847-502-7277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 9, 2026; 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.

Verify at the official NPI Registry.