Mythos Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MYTHOS PSYCHOTHERAPY, PLLC

Practice address

155 N Michigan Ave Ste 723
Chicago, IL 60601-7707

Phone

(312) 248-3390

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Jordan Prager White

Title

Founder/Psychotherapist

Phone

(312) 248-3390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1285498428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR APT 816",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 723",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017707",
            "telephone_number": "312-248-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHOS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "PRAGER",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-248-3390"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.