NPIMap

Organization Active NPI

John William Allen, Psy.D. P.C.

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1336379304
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
071-007404 Issued in IL
Legal business name
JOHN WILLIAM ALLEN, PSY.D. P.C.
Practice address
4055 W Peterson Ave
Ste. 201
Chicago, IL 60646-6182
Phone
(773) 478-2982
Fax
(773) 478-8105
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. John William Allen, PSY.D.NPI 1609044080
Title
Clinical Psychologist
Phone
(773) 478-2982

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 071-007404 IL
Preferred Provider Organization 305R00000X 071-007404 IL Primary

Addresses

Primary practice location

4055 W Peterson Ave
Ste. 201
Chicago, IL 60646-6182

Mailing address

4055 W Peterson Ave
Ste. 201
Chicago, IL 60646-6182
Phone (773) 478-2982

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": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1336379304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE",
            "address_2": "STE. 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466182",
            "telephone_number": "773-478-2982",
            "fax_number": "773-478-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE",
            "address_2": "STE. 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466182",
            "telephone_number": "773-478-2982",
            "fax_number": "773-478-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WILLIAM ALLEN, PSY.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-478-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "071-007404",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "071-007404",
            "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 Jul 23, 2009; 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.