Organization Active NPI

Olson and Hamilton Psychotherapy Services Incorporated

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1336427731
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012143 Issued in IL
Legal business name
OLSON AND HAMILTON PSYCHOTHERAPY SERVICES INCORPORATED
Practice address
1300 W Belmont Ave
Ste 211
Chicago, IL 60657-3200
Phone
(773) 880-2317
NPI assigned
Aug 2, 2011
Last updated
Oct 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Mr. Blake Hamilton, LCSWNPI 1619026390
Title
President
Phone
(773) 880-2308

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 Social Worker 1041C0700X 149012143 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave
Ste 211
Chicago, IL 60657-3200

Mailing address

1300 W Belmont Ave
Ste 211
Chicago, IL 60657-3200
Phone (773) 880-2317

National Provider Directory

National Provider Directory

Locations

1300 W Belmont Ave
Chicago, IL 60657
Phone (312) 813-7701

1300 W Belmont Ave
Ste 211
Chicago, IL 60657
Phone (773) 880-2308

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1336427731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-880-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-880-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON AND HAMILTON PSYCHOTHERAPY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-880-2308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012143",
            "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 Oct 18, 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.