Chicago Psychological Services, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

071001927 Issued in IL

Legal business name

CHICAGO PSYCHOLOGICAL SERVICES, INC.

Practice address

3633 Breakers Dr Apt 329
Olympia Fields, IL 60461-1063

Phone

(773) 263-8855

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John B Houck, LICENSED CLINICAL PS

Title

President

Phone

(773) 263-8855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1386041796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 BREAKERS DR APT 329",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611063",
            "telephone_number": "773-263-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 BREAKERS DR APT 329",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611063",
            "telephone_number": "773-263-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-263-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICENSED CLINICAL PS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071001927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Chan, DO
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• Bampen Charo, MD
• Chauffeured Seniors
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• Gabriel Michael Chimera, DO
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• Chiro One Wellness Center of Olympia Fields

• Adult Mental Health Clinic/Center in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.