Organization Active NPI

Lee Madden Licensed Clinical Psychologist

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1326434168
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006523 Issued in IL
Legal business name
LEE MADDEN LICENSED CLINICAL PSYCHOLOGIST
Practice address
6601 North Ave
Oak Park, IL 60302-1005
Phone
(708) 383-0729
NPI assigned
Apr 8, 2015
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Lee L Madden, PSYDNPI 1861469728
Title
Licensed Clinical Psychologist
Phone
(708) 383-0729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006523 IL Primary

Addresses

Primary practice location

6601 North Ave
Oak Park, IL 60302-1005

Mailing address

6601 North Ave
Oak Park, IL 60302-1005
Phone (708) 383-0729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1326434168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021005",
            "telephone_number": "708-383-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021005",
            "telephone_number": "708-383-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MADDEN LICENSED CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-383-0729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.