Organization Active NPI

GM Psychological Services, Inc.

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1437288735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GM PSYCHOLOGICAL SERVICES, INC.
Practice address
1108 Linden Ave
Oak Park, IL 60302-1243
Phone
(773) 750-3819
Fax
(708) 383-6948
NPI assigned
Mar 4, 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
Dr. Erika L. Gilyot-Montgomery, PSY.D.NPI 1700091121
Title
President
Phone
(773) 750-3819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1108 Linden Ave
Oak Park, IL 60302-1243

Mailing address

1108 Linden Ave
Oak Park, IL 60302-1243
Phone (773) 750-3819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140212000045 IL Part B Supplier - Clinic/Group Practice 6800025024 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Locations

7001 North Ave
Ste 201
Oak Park, IL 60302
Phone (773) 482-1498

Practitioners & affiliated clinicians

Practitioners 3

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": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 LINDEN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021243",
            "telephone_number": "773-750-3819",
            "fax_number": "708-383-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LINDEN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021243",
            "telephone_number": "773-750-3819",
            "fax_number": "708-383-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILYOT-MONTGOMERY",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-750-3819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.