NPIMap

Organization Active NPI

Center for Psychological Services - Oak Lawn LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Lawn, IL
National Provider Identifier
1386604577
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
071 003598 Issued in IL
Legal business name
CENTER FOR PSYCHOLOGICAL SERVICES - OAK LAWN LTD
Practice address
10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400
Phone
(708) 424-0001
Fax
(708) 424-1394
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Victoria Kowalsky Williams, PSYD
Title
Owner and Head of the Practice
Phone
(708) 424-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071 003598 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400

Mailing address

10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400
Phone (708) 424-0001

Other identifiers 1

IdentifierTypeStateIssuer
01623005OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1386604577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL SERVICES - OAK LAWN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "KOWALSKY",
        "authorized_official_title_or_position": "OWNER AND HEAD OF THE PRACTICE",
        "authorized_official_telephone_number": "708-424-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071 003598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01623005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.