Mountain of Change Counseling and Psychological Services PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MOUNTAIN OF CHANGE COUNSELING AND PSYCHOLOGICAL SERVICES PLLC

Practice address

661 W Lake St Ste 2S
Chicago, IL 60661-1034

Phone

(312) 219-4430

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Evette Akua Addai, PH.D.NPI 1124790217

Title

Pediatric Psychologist

Phone

(217) 520-6337

Specialties & licenses 2

Addresses

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.

• Evette Akua Addai, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
  • NPI 1124790217
  NPD Authorized official

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1427803915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 W DIVISION ST # 130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229024",
            "telephone_number": "312-219-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "312-219-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OF CHANGE COUNSELING AND PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ADDAI",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "AKUA",
        "authorized_official_title_or_position": "PEDIATRIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "217-520-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Hospital, Chicago
• Mount Sinai Medical Center
• Mount Sinai Medical Center
• Mount Sinai Medical Center
• Mount Sinai Medical Center
• Mountain Plus LLC (MOUNTAIN PLUS Non emergency Medical transportation (NEMT))
• Joseph Mountain, PA-C
• Mountsinai Community Foundation (Sinai Medical Group)
• Mountsinai Hospital
• Amy Mourad, LPC

• Adolescent and Children Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.