Organization Active NPI

Psych Wellness Corp

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1437673886
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCH WELLNESS CORP
Practice address
190 S la Salle St Ste 2100
Chicago, IL 60603-3541
Phone
(773) 610-1638
Fax
(773) 610-1638
NPI assigned
Jul 27, 2017
Last updated
Jul 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Mr. Steve Gilbert
Title
Owner/Ceo
Phone
(773) 610-1638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

190 S la Salle St Ste 2100
Chicago, IL 60603-3541

Mailing address

190 S la Salle St Ste 2100
Chicago, IL 60603-3541
Phone (773) 610-1638

National Provider Directory

National Provider Directory

Locations

190 S La Salle St
Ste 2100
Chicago, IL 60603
Phone (402) 417-5333

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1437673886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S LA SALLE ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033541",
            "telephone_number": "773-610-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S LA SALLE ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033541",
            "telephone_number": "773-610-1638",
            "fax_number": "773-610-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "773-610-1638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Jul 27, 2017; 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.