Active NPI
Paula Madelyn Gorlitz, PHD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1306005814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 072003086
- Practice address
- 233 E Wacker Dr
Suite 1302
Chicago, IL 60601-5104 - Phone
- (312) 203-9296
- Fax
- (847) 251-7974
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 072003086 | IL | Primary |
Addresses
Primary practice location
233 E Wacker Dr
Suite 1302
Chicago, IL 60601-5104
Mailing address
233 East Wacker Drive
Suite 1302
Chicago, IL 60601-5104
Phone (312) 203-9296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072003086 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1306005814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 EAST WACKER DRIVE",
"address_2": "SUITE 1302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015104",
"telephone_number": "312-203-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E WACKER DR",
"address_2": "SUITE 1302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015104",
"telephone_number": "312-203-9296",
"fax_number": "847-251-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORLITZ",
"first_name": "PAULA",
"middle_name": "MADELYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "072003086",
"primary": true
}
],
"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 Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.