Active NPI
New Foundations Psychological and Family Services, P.C.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1356929673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
- Practice address
- 4305 N Lincoln Ave Ste O
Chicago, IL 60618-1807 - Phone
- (773) 505-1733
- Fax
- (866) 567-3038
- NPI assigned
- Mar 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nichole M Aumann, PSYD, LCPC
- Title
- Clinical Psychologist/Owner
- Phone
- (773) 505-1733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
4305 N Lincoln Ave Ste O
Chicago, IL 60618-1807
Mailing address
4305 N Lincoln Ave Ste O
Chicago, IL 60618-1807
Phone (773) 505-1733
National Provider Directory
National Provider DirectoryLocations
4305 N Lincoln Ave
Ste O
Chicago, IL 60618
Phone (773) 505-1733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Oak Park, IL
- NPI 1558526590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1356929673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 N LINCOLN AVE STE O",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181807",
"telephone_number": "773-505-1733",
"fax_number": "866-567-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 N LINCOLN AVE STE O",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181807",
"telephone_number": "773-505-1733",
"fax_number": "866-567-3038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "AUMANN",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "773-505-1733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, LCPC"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.