Organization Active NPI

Marcia S Nickow LTD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1437495249
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008022 Issued in IL
Legal business name
MARCIA S NICKOW LTD
Practice address
25 E Washington St Ste 1811
Chicago, IL 60602-1830
Phone
(847) 244-9772
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Marcia Nickow, PSYD
Title
Owner Private Practitioner
Phone
(847) 244-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071008022 IL Primary

Addresses

Primary practice location

25 E Washington St Ste 1811
Chicago, IL 60602-1830

Mailing address

25 E Washington St Ste 1811
Chicago, IL 60602-1830
Phone (847) 244-9772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1437495249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021830",
            "telephone_number": "847-244-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021830",
            "telephone_number": "847-244-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA S NICKOW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "NICKOW",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "847-244-9772",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008022",
            "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 Dec 26, 2012; 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.