Organization Active NPI

Core Psychological Associates, LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1467086470
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CORE PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
155 N Michigan Ave Ste 721
Chicago, IL 60601-7707
Phone
(312) 343-3432
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. Monique CleminsonNPI 1932231461
Title
Co-Founder
Phone
(312) 343-3432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

155 N Michigan Ave Ste 721
Chicago, IL 60601-7707

Mailing address

155 N Michigan Ave Ste 721
Chicago, IL 60601-7707
Phone (312) 343-3432

Other identifiers 1

IdentifierTypeStateIssuer
1932231461OtherILTYPE I NPI (MONIQUE (HERNANDEZ) CLEMINSON)

National Provider Directory

National Provider Directory

Locations

155 N Michigan Ave
Ste 721
Chicago, IL 60601
Phone (312) 343-3432

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1467086470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 721",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017707",
            "telephone_number": "312-343-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 721",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017707",
            "telephone_number": "312-343-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "CLEMINSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "312-343-3432",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI (MONIQUE (HERNANDEZ) CLEMINSON)",
            "identifier": "1932231461",
            "state": "IL"
        }
    ],
    "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 Mar 3, 2020; 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.