Chicago Center for Psychophysical Healing

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000302 Issued in IL

Legal business name

CHICAGO CENTER FOR PSYCHOPHYSICAL HEALING

Practice address

1622 W Devon Ave
Chicago, IL 60660-1214

Phone

(773) 764-0960

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John R Northage Jr., L.AC

Title

Ceo

Phone

(773) 764-0960

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Althea M Northage-Orr, MA, AHG, L.AC., CST

  • Acupuncturist
  • Chicago, IL
  • NPI 1932613460
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1417197955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601214",
            "telephone_number": "773-764-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601214",
            "telephone_number": "773-764-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CENTER FOR PSYCHOPHYSICAL HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "NORTHAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-764-0960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000302",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Center for Facial Plastic Surgery, S.C.
• Chicago Center for Growth and Change Concierge Therapy, LLC
• Chicago Center for Growth and Change, LLC
• Chicago Center for Integration and Healing LTD
• Chicago Center for Psychological Services, LLC
• Chicago Center for Relational Health
• Chicago Center for Sexual Wellbeing
• Chicago Center for Sexual Wellbeing, LTD.
• Chicago Center for Well-Being, Inc.
• Chicago Center for Womens Health SC

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.