Organization Active NPI

Karen Conner, PH.D., LTD

Doing business as Conner and Associates Psychotherapy Group

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1427460377
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005588 Issued in IL
Legal business name
KAREN CONNER, PH.D., LTD
Doing business as
Conner and Associates Psychotherapy Group
Practice address
3139 N Lincoln Ave
Suite 211
Chicago, IL 60657-3114
Phone
(773) 868-0962
NPI assigned
May 27, 2014
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Karen Conner, PH.D.
Title
President
Phone
(773) 868-0962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071005588 IL Primary

Addresses

Primary practice location

3139 N Lincoln Ave
Suite 211
Chicago, IL 60657-3114

Mailing address

8861 N Grand St
Niles, IL 60714-1606
Phone (773) 868-0962

Other names 1

  • Conner and Associates Psychotherapy Group Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1427460377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 N GRAND ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141606",
            "telephone_number": "773-868-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE",
            "address_2": "SUITE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573114",
            "telephone_number": "773-868-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN CONNER, PH.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-868-0962",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conner and Associates Psychotherapy Group",
            "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 Aug 8, 2014; 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.