Organization Active NPI

Emotion-Focused Therapy Institute

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1356692305
Registry record updated Sep 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007755 Issued in IL
Legal business name
EMOTION-FOCUSED THERAPY INSTITUTE
Practice address
655 W Irving Park Rd
Suite 201
Chicago, IL 60613-3123
Phone
(773) 428-0159
NPI assigned
Sep 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2012

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

Authorized official

Name
Dr. Michael E. Bricker, PHD
Title
Co-Director
Phone
(773) 428-0159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007755 IL Primary

Addresses

Primary practice location

655 W Irving Park Rd
Suite 201
Chicago, IL 60613-3123

Mailing address

655 W Irving Park Rd
Suite 201
Chicago, IL 60613-3123
Phone (773) 428-0159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348876800000",
    "number": "1356692305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133123",
            "telephone_number": "773-428-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133123",
            "telephone_number": "773-428-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTION-FOCUSED THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2012-09-29",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "773-428-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007755",
            "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 29, 2012; 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.