Active NPI
Judith Meryl Bank, PHD
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1326622622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 149-001730
- Practice address
- 200 E Delaware PL Apt 3C
Chicago, IL 60611-1749 - Phone
- (312) 543-5400
- NPI assigned
- May 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 149-001730 | IL | |
| Mental Health Counselor | 101YM0800X | 149-001730 | ID | Primary |
Addresses
Primary practice location
200 E Delaware PL Apt 3C
Chicago, IL 60611-1749
Mailing address
200 E Delaware PL Apt 3C
Chicago, IL 60611-1749
Phone (312) 543-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149-001730 | Other | IL | PERSONAL |
| 149-001730 | Other | IL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbankdr@icloud.com | Direct |
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 |
|---|---|---|---|
| 149-001730 | ID | MD | Mental Health Counselor |
| 149-001730 | IL | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1326622622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E DELAWARE PL APT 3C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111749",
"telephone_number": "312-543-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E DELAWARE PL APT 3C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111749",
"telephone_number": "312-543-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANK",
"first_name": "JUDITH",
"middle_name": "MERYL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "IL",
"license": "149-001730",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "149-001730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL",
"identifier": "149-001730",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "149-001730",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbankdr@icloud.com",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 E Delaware Pl Apt 3C",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606111749",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.