Organization Active NPI

Take Action, Inc

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1437280484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00987 Issued in IA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.