Active NPI
Evolve Psychotherapy, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1275825796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.006224
- Legal business name
- EVOLVE PSYCHOTHERAPY, LLC
- Practice address
- 155 N Michigan Ave
Suite 760
Chicago, IL 60601-7511 - Phone
- (224) 639-6909
- NPI assigned
- May 3, 2011
- 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. Jill Schoeneman-Parker, PSY.D.
- Title
- Owner
- Phone
- (224) 639-6909
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.006224 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 149006137 | IL | |
| Clinical Social Worker | 1041C0700X | 149012341 | IL | |
| Clinical Social Worker | 1041C0700X | 149002414 | IL |
Addresses
Primary practice location
155 N Michigan Ave
Suite 760
Chicago, IL 60601-7511
Mailing address
155 North Michigan Ave
Suite 760
Chicago, IL 60601
National Provider Directory
National Provider DirectoryLocations
155 N Michigan Ave
Ste 760
Chicago, IL 60601
Phone (312) 451-2125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304380800000",
"number": "1275825796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 NORTH MICHIGAN AVE",
"address_2": "SUITE 760",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE",
"address_2": "SUITE 760",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017511",
"telephone_number": "224-639-6909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A",
"authorized_official_last_name": "SCHOENEMAN-PARKER",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-639-6909",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.006224",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149006137",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149012341",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149002414",
"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 May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.