Organization Active NPI

Mary H. Case, PH.D. P.C.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1306020144
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
180004710 Issued in IL
Legal business name
MARY H. CASE, PH.D. P.C.
Practice address
625 N Michigan Ave
1750
Chicago, IL 60611-3110
Phone
(312) 203-8114
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Mary H. Case, PH.D.
Title
President
Phone
(312) 203-8114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 180004710 IL Primary

Addresses

Primary practice location

625 N Michigan Ave
1750
Chicago, IL 60611-3110

Mailing address

625 N Michigan Ave
1750
Chicago, IL 60611-3110
Phone (312) 203-8114

National Provider Directory

National Provider Directory

Locations

625 N Michigan Ave
Ste 1750
Chicago, IL 60611
Phone (312) 203-8114

1770 Park St
Ste 109
Naperville, IL 60563
Phone (630) 305-5702

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1306020144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "address_2": "1750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113110",
            "telephone_number": "312-203-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "address_2": "1750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113110",
            "telephone_number": "312-203-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY H. CASE, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-203-8114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "180004710",
            "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 Jan 19, 2011; 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.