NPIMap

Organization Active NPI

City Haven

  • Psychologist
  • Chicago, IL
National Provider Identifier
1386054682
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071008183 Issued in IL
Legal business name
CITY HAVEN
Practice address
1735 N Ashland Ave
Office 201
Chicago, IL 60622-1435
Phone
(847) 830-4992
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Katherine Harding, PSYDNPI 1386925428
Title
Owner/Clinician
Phone
(847) 830-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 071008183 IL Primary

Addresses

Primary practice location

1735 N Ashland Ave
Office 201
Chicago, IL 60622-1435

Mailing address

1735 N Ashland Ave
Office 201
Chicago, IL 60622-1435
Phone (847) 830-4992

National Provider Directory

National Provider Directory
Tax ID family
City Haven2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1735 N Ashland Ave
Ofc 201
Chicago, IL 60622
Phone (847) 830-4992

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": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1386054682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N ASHLAND AVE",
            "address_2": "OFFICE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221435",
            "telephone_number": "847-830-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N ASHLAND AVE",
            "address_2": "OFFICE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221435",
            "telephone_number": "847-830-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "847-830-4992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008183",
            "primary": true
        }
    ],
    "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 May 7, 2014; 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.