Courtney Wells, PHD LLC Dba Pivot Psychological Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES

Practice address

4611 N Ravenswood Ave Ste 201
Chicago, IL 60640-7573

Phone

(312) 868-0163

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Wells, PH.D.NPI 1134669880

Title

Owner/Psychologist

Phone

(312) 868-0163

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Wells, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1134669880
  NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1437860343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407573",
            "telephone_number": "312-868-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-868-0163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Couret Jr., LCPC
• Ryan Cournoyer, MD
• Josie Court, FNP-C
• Courtney Chapman LTD
• Courtney Remacle LCSW, PLLC
• Caitlin Courtney, DAOM
• Carol Courtney, PT, PHD
• Daniel Mark Courtney, MD
• Patricia J. Courtney, CRNA
• Tessa Jane Courtney, LCSW

• Counseling Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.