The Circle El Circulo of the Society of Helpers

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002095 Issued in IL

Legal business name

THE CIRCLE EL CIRCULO OF THE SOCIETY OF HELPERS

Doing business as

The Circle of the Society of Helpers

Practice address

2648 W Pershing Rd
Chicago, IL 60632-1629

Phone

(872) 444-5148

Fax

(872) 444-5148

NPI assigned

Sep 6, 2016

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Gutierrez, MS

Title

Executive Director

Phone

(872) 444-5148

Specialties & licenses 2

Addresses

Other names 1

• The Circle of the Society of Helpers Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Mary Ellen Moore, PH D

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1487735940
  Medicare reassignment NPD

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1285181438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 W PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321629",
            "telephone_number": "872-444-5148",
            "fax_number": "872-444-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 W PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321629",
            "telephone_number": "872-444-5148",
            "fax_number": "872-444-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CIRCLE EL CIRCULO OF THE SOCIETY OF HELPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "872-444-5148",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002095",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-002095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Circle of the Society of Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.