Stephanie Cornette P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

071007251 Issued in IL

Legal business name

STEPHANIE CORNETTE P.C.

Practice address

4055 W Peterson Ave
201
Chicago, IL 60646-6182

Phone

(773) 988-7144

Fax

(773) 423-4300

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie L Cornette, PSY.D.

Title

Clinical Psychologist

Phone

(773) 988-7144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1407082936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466182",
            "telephone_number": "773-988-7144",
            "fax_number": "773-423-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466182",
            "telephone_number": "773-988-7144",
            "fax_number": "773-423-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CORNETTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "CORNETTE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-988-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071007251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Stephan, APRN, PMHNP-BC
• Christopher Q Stephan Jr., M.D.
• Faith Stephan, DC
• Rachel Stephani
• Stephanie Ceranec LLC
• Stephanie E. Cold LCPC, LLC
• Stephanie Galioto LMFT, PLLC
• Stephanie Harris LCPC PLLC
• Stephanie L Brennan LCPC
• Stephanie Madden LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.