Active NPI
Huddle Behavioral Health Inc
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1295271351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27473
- Legal business name
- HUDDLE BEHAVIORAL HEALTH INC
- Practice address
- 220 N Green St
Chicago, IL 60607-1702 - Phone
- (313) 706-8078
- NPI assigned
- Jan 13, 2017
- 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
- Margaret Perry, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (313) 706-8078
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27473 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 071.009382 | IL | |
| Clinical Psychologist | 103TC0700X | 05381 | MD |
Addresses
Primary practice location
220 N Green St
Chicago, IL 60607-1702
Mailing address
220 N Green St
Chicago, IL 60607-1702
Phone (313) 706-8078
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484265600000",
"number": "1295271351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N GREEN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071702",
"telephone_number": "313-706-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N GREEN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071702",
"telephone_number": "313-706-8078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDDLE BEHAVIORAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "313-706-8078",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27473",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009382",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05381",
"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 Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.