Active NPI
Thamani
- Psychologist
- Chicago, IL
National Provider Identifier
1437639473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071009493
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.