Lisa a. Ditchek, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005203 Issued in IL

Legal business name

LISA A. DITCHEK, PSY.D., P.C.

Practice address

1580 N Northwest Hwy
116 A
Park Ridge, IL 60068-1444

Phone

(847) 390-0800

Fax

(847) 390-0802

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Ditchek, PSY.D.

Title

President/Clinical Psychologist

Phone

(847) 390-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1306045737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "116 A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-390-0800",
            "fax_number": "847-390-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "116 A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-390-0800",
            "fax_number": "847-390-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. DITCHEK, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "DITCHEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-390-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Linsky, PH.D.
• Rima Lintakas, DPT
• Angelica Lipiszko
• Joshua Lawrence Lipschultz, PH.D., BCBA-D
• Susan D Lis, M.D.
• Lisa Kim Medical Associates SC
• Little Hill Psychology Clinic, Inc.
• Little Wildflowers Therapies LLC
• Miranda Liu
• Siyuan Christopher Liu, MD/PHD

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.