NPIMap

Organization Active NPI

Chicago Testprep.Org, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1417476599
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002142 Issued in IL
Legal business name
CHICAGO TESTPREP.ORG, LLC
Doing business as
CTP
Practice address
1220 N Hoyne Ave Ste B
Chicago, IL 60622-3190
Phone
(773) 360-8852
Fax
(773) 347-1777
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John W Jones, PH.D
Title
Coo/Chief Psychologist
Phone
(773) 360-8852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071.002712 IL
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.002142 IL Primary

Addresses

Primary practice location

1220 N Hoyne Ave Ste B
Chicago, IL 60622-3190

Mailing address

1220 N Hoyne Ave Ste B
Chicago, IL 60622-3190
Phone (773) 360-8852

Other names 1

  • CTP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417476599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N HOYNE AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223190",
            "telephone_number": "773-360-8852",
            "fax_number": "773-347-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N HOYNE AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223190",
            "telephone_number": "773-360-8852",
            "fax_number": "773-347-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO TESTPREP.ORG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO/CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-360-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.002712",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.