Organization Active NPI

Intercultural Behavioral Health & Consultation LLC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1366013054
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INTERCULTURAL BEHAVIORAL HEALTH & CONSULTATION LLC
Practice address
155 N Michigan Ave Ste 569
Chicago, IL 60601-7799
Phone
(312) 545-8480
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Ayako Konno, PSYDNPI 1114221082
Title
Owner/Psychologist
Phone
(312) 545-8480

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

155 N Michigan Ave Ste 569
Chicago, IL 60601-7799

Mailing address

155 N Michigan Ave Ste 569
Chicago, IL 60601-7799
Phone (312) 545-8480

National Provider Directory

National Provider Directory

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": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1366013054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 569",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017799",
            "telephone_number": "312-545-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 569",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017799",
            "telephone_number": "312-545-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCULTURAL BEHAVIORAL HEALTH & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KONNO",
        "authorized_official_first_name": "AYAKO",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-545-8480",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 5, 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.

Verify at the official NPI Registry.