Christina Samycia PSYD, LTD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071007818 Issued in IL

Legal business name

CHRISTINA SAMYCIA PSYD, LTD.

Practice address

77 W. Washington, Ste 1704
Chicago, IL 60602

Phone

(312) 285-5287

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Christina Samycia, PSYDNPI 1710217310

Title

Psychologist/ President

Phone

(312) 285-5287

Specialties & licenses 1

Addresses

Other names 1

• Mind Body Healing, Ltd. Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Christina Samycia, PSYD

  • Counseling Psychologist
  • Chicago, IL
  • NPI 1710217310
  Medicare reassignment NPD Authorized official
• Patricia Ann Zemaitis, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1013236694
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1467897819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W. WASHINGTON, STE 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-285-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W. WASHINGTON, STE 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-285-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA SAMYCIA PSYD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SAMYCIA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ PRESIDENT",
        "authorized_official_telephone_number": "312-285-5287",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Healing, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Connor Roy Christie, PA-C
• Margaret Rose Christie, PH.D.
• Christina Bolis Psychotherapy PLLC
• Christina L Pinilla LCSW PLLC
• Christina Philippou DDS LTD
• Christina Sprayberry LCSW LLC
• Christine Aiello Therapy, PLLC
• Christine Demos LCSW PLLC
• Christine L Jacobek PSYD PC
• Christine McCall LCSW Cadc LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.