Blue Anchor Wellness, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BLUE ANCHOR WELLNESS, LLC

Practice address

715 E Golf Rd Ste 200A1
Schaumburg, IL 60173-4595

Phone

(847) 650-9617

NPI assigned

Apr 3, 2021

Organization subpart

No

Name

Dr. Caryn Andrews, PSYDNPI 1770048282

Title

Owner/Clinical Psychologist

Phone

(847) 650-9617

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caryn P Andrews, PSYD

  • Clinical Psychologist
  • McHenry, IL
  • NPI 1770048282

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2021.

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1285213769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JEFFERSON LN",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131887",
            "telephone_number": "847-650-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD STE 200A1",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734595",
            "telephone_number": "847-650-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANCHOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-650-9617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.