Psychotherapy Center Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOTHERAPY CENTER INC

Practice address

9730 S Western Ave Ste 838
Evergreen Park, IL 60805-2814

Phone

(773) 590-2356

NPI assigned

Jun 16, 2023

Organization subpart

Yes

Parent organization

PSYCHOTHERAPY CENTER INCAs reported in NPPES

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

Authorized official

Name

Dr. Aaron Donald Chatman, PSY.DNPI 1831799436

Title

President/Ceo

Phone

(773) 590-2356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Psychotherapy Center Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Donald Chatman, PSY.D

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1831799436
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1326723453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 W 86TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523934",
            "telephone_number": "773-590-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 838",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052814",
            "telephone_number": "773-590-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOTHERAPY CENTER INC",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-02-09",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-590-2356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.