Organization Active NPI

The Connected Self PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1396607206
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE CONNECTED SELF PLLC
Practice address
4200 N Hazel St
Chicago, IL 60613-1289
Phone
(708) 365-8485
NPI assigned
Nov 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Authorized official

Name
Megan SzudarskiNPI 1811596364
Title
LCSW
Phone
(708) 365-8485

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4200 N Hazel St
Chicago, IL 60613-1289

Mailing address

1440 W Taylor St # 636
Chicago, IL 60607-4623
Phone (708) 365-8485

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.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764374400000",
    "number": "1396607206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 636",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "708-365-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N HAZEL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131289",
            "telephone_number": "708-365-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTED SELF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A",
        "authorized_official_last_name": "SZUDARSKI",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "708-365-8485"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Nov 29, 2025; 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.