The Family Institute at Northwestern University

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

THE FAMILY INSTITUTE AT NORTHWESTERN UNIVERSITY

Practice address

618 Library PL
Evanston, IL 60201-2908

Phone

(847) 773-4300

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Adia Gooden, M.A.

Title

Postdoctoral Fellow

Phone

(626) 644-7116

Specialties & licenses 1

Addresses

Tax ID family

The Family Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Family Institute

  • Community/Behavioral Health Agency
  • Evanston, IL
  • NPI 1124279146
  NPD tax ID
• The Family Institute

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1417988155
  NPD tax ID

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1386085181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 LIBRARY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012908",
            "telephone_number": "847-773-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LIBRARY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012908",
            "telephone_number": "847-773-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY INSTITUTE AT NORTHWESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "GOODEN",
        "authorized_official_first_name": "ADIA",
        "authorized_official_title_or_position": "POSTDOCTORAL FELLOW",
        "authorized_official_telephone_number": "626-644-7116",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.