Active NPI
Kaliqa Nicholas
- School Psychologist
- Chicago, IL
National Provider Identifier
1336057926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 8104 S Avalon Ave
Chicago, IL 60619-4524 - Phone
- (312) 402-8657
- NPI assigned
- Sep 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | IL | Primary |
Addresses
Primary practice location
8104 S Avalon Ave
Chicago, IL 60619-4524
Mailing address
8104 S Avalon Ave
Chicago, IL 60619-4524
Phone (312) 402-8657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1336057926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8104 S AVALON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606194524",
"telephone_number": "312-402-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8104 S AVALON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606194524",
"telephone_number": "312-402-8657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "KALIQA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": null,
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.