Genessa Lewis, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-008626 Issued in IL

Practice address

6323 N Avondale Ave Ste B-245
Chicago, IL 60631-1962

Phone

(773) 853-0698

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Public Safety Psychological Services, LTD

  • Prescribing (Medical) Psychologist
  • Oak Park, IL
  • NPI 1952125700

  Clinical

  NPD Authorized official
• Center for Applied Psychology and Forensic Studies

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1386821551
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1356878235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE B-245",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE B-245",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311962",
            "telephone_number": "773-853-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GENESSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Harker Lewis, LCSW
• Debra Joann Lewis, MSW/LSW
• Donyae A. Lewis
• Dorenda Lewis, NP
• Emily Lewis, MSW
• Grace E Lewis
• Hannah Beth Lewis, MD
• Harvey Lewis II, MD
• Imani Lewis
• Jacob I Lewis, M.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.