Active NPI
Center for Assessment and Psychological Services
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1275692196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006135
- Legal business name
- CENTER FOR ASSESSMENT AND PSYCHOLOGICAL SERVICES
- Practice address
- 400 W Liberty
Suite C
Wheaton, IL 60187 - Phone
- (630) 260-1570
- Fax
- (630) 260-1576
- NPI assigned
- Dec 6, 2006
- 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
- Julia M Klco, PSY D
- Title
- Clinical Psychologist
- Phone
- (630) 546-6803
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071006135 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 71007031 | IL | |
| Clinical Social Worker | 1041C0700X | 149010619 | IL |
Addresses
Primary practice location
400 W Liberty
Suite C
Wheaton, IL 60187
Mailing address
400 W Liberty
Suite C
Wheaton, IL 60187
Phone (630) 260-1570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232532 | Other | BC |
National Provider Directory
National Provider DirectoryLocations
400 W Liberty Dr
Ste C
Wheaton, IL 60187
Phone (630) 260-1570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1275692196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W LIBERTY",
"address_2": "SUITE C",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-260-1570",
"fax_number": "630-260-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W LIBERTY",
"address_2": "SUITE C",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-260-1570",
"fax_number": "630-260-1576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ASSESSMENT AND PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "KLCO",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "630-546-6803",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006135",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71007031",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149010619",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "2232532",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.