Organization Active NPI

Thamani

  • Psychologist
  • Chicago, IL
National Provider Identifier
1437639473
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071009493 Issued in IL
Legal business name
THAMANI
Practice address
3036 W Irving Park Rd
Chicago, IL 60618-3539
Phone
(773) 270-2150
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Jonathan Wildt
Title
Executive Assistant
Phone
(217) 370-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 071009493 IL Primary

Addresses

Primary practice location

3036 W Irving Park Rd
Chicago, IL 60618-3539

Mailing address

2020 N California Ave Ste 7
Box 220
Chicago, IL 60647-6320

National Provider Directory

National Provider Directory

Locations

2020 N California Ave
Ste 7
Chicago, IL 60647
Phone (216) 346-5467

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1437639473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CALIFORNIA AVE STE 7",
            "address_2": "BOX 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183539",
            "telephone_number": "773-270-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAMANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "WILDT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "217-370-7540"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009493",
            "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 20, 2018; 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.