Organization Active NPI

Sankofa Psychological Services, LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1316242290
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008046 Issued in IL
Legal business name
SANKOFA PSYCHOLOGICAL SERVICES, LLC
Practice address
2835 N Sheffield Ave
404
Chicago, IL 60657-5081
Phone
(312) 659-0020
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Jason Edward Lahood, PSY.D.
Title
Clinical Director
Phone
(312) 659-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071.008046 IL Primary

Addresses

Primary practice location

2835 N Sheffield Ave
404
Chicago, IL 60657-5081

Mailing address

999 W Wolfram St
505
Chicago, IL 60657-5094
Phone (312) 659-0020

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1316242290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W WOLFRAM ST",
            "address_2": "505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575094",
            "telephone_number": "312-659-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "312-659-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "LAHOOD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "312-659-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008046",
            "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 Feb 1, 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.