Active NPI
Take Action, Inc
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1437280484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00987
- Legal business name
- TAKE ACTION, INC
- Practice address
- 5455 N Sheridan Rd
1709
Chicago, IL 60640-1958 - Phone
- (773) 944-5301
- Fax
- (773) 944-5302
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryce Woods
- Title
- Business Manager
- Phone
- (773) 944-5301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00987 | IA | Primary |
Addresses
Primary practice location
5455 N Sheridan Rd
1709
Chicago, IL 60640-1958
Mailing address
5455 N Sheridan Rd
1709
Chicago, IL 60640-1958
Phone (773) 944-5301
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Chicago, IL
- NPI 1235317165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437280484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 N SHERIDAN RD",
"address_2": "1709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401958",
"telephone_number": "773-944-5301",
"fax_number": "773-944-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 N SHERIDAN RD",
"address_2": "1709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401958",
"telephone_number": "773-944-5301",
"fax_number": "773-944-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKE ACTION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "BRYCE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "773-944-5301"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.