Ren F Duarte Psy D Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

071-006715 Issued in IL

Legal business name

REN F DUARTE PSY D INC

Practice address

3200 N Lake Shore Dr
Apt. 1001
Chicago, IL 60657-3952

Phone

(773) 315-0636

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Ren F Duarte, PSY . D.

Title

Clinical Psychologist

Phone

(773) 315-0636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1356792477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N LAKE SHORE DR",
            "address_2": "APT. 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573952",
            "telephone_number": "773-315-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N LAKE SHORE DR",
            "address_2": "APT. 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573952",
            "telephone_number": "773-315-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REN F DUARTE PSY D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "REN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-315-0636",
        "authorized_official_credential": "PSY . D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "071-006715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.