NPIMap

Organization Active NPI

Journey Works, LTD.

  • Clinical Psychologist
  • Buffalo Grove, IL
National Provider Identifier
1336295757
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004736 Issued in IL
Legal business name
JOURNEY WORKS, LTD.
Practice address
1217 McHenry Rd
233
Buffalo Grove, IL 60089-1379
Phone
(847) 604-0734
Fax
(847) 793-8830
NPI assigned
Jan 26, 2007
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Kirk Wayne Erickson, PSY.D.NPI 1629346853
Title
President
Phone
(847) 604-0734

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 071004736 IL Primary

Addresses

Primary practice location

1217 McHenry Rd
233
Buffalo Grove, IL 60089-1379

Mailing address

1217 McHenry Rd
233
Buffalo Grove, IL 60089-1379
Phone (847) 604-0734

National Provider Directory

National Provider Directory

Locations

1217 McHenry Rd
Ste 233
Buffalo Grove, IL 60089
Phone (847) 604-0734

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1336295757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD",
            "address_2": "233",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "847-604-0734",
            "fax_number": "847-793-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD",
            "address_2": "233",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "847-604-0734",
            "fax_number": "847-793-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY WORKS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-604-0734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.