NPIMap

Organization Active NPI

Bright Futures Psychological Services

  • Clinical Psychologist
  • Orland Park, IL
National Provider Identifier
1497022008
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007445 Issued in IL
Legal business name
BRIGHT FUTURES PSYCHOLOGICAL SERVICES
Practice address
14315 108TH Ave
Suite 220
Orland Park, IL 60467-5700
Phone
(708) 669-3311
Fax
(708) 403-6796
NPI assigned
Nov 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

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

Authorized official

Name
Rebecca Hall, PSY.D.NPI 1184734147
Title
Co-Owner
Phone
(708) 669-3311

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 071007445 IL Primary

Addresses

Primary practice location

14315 108TH Ave
Suite 220
Orland Park, IL 60467-5700

Mailing address

PO Box 613
Channahon, IL 60410-0613
Phone (815) 521-1889

National Provider Directory

National Provider Directory

Locations

14315 108th Ave
Ste 220
Orland Park, IL 60467
Phone (630) 779-8525

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": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1497022008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100613",
            "telephone_number": "815-521-1889",
            "fax_number": "815-521-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE",
            "address_2": "SUITE 220",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675700",
            "telephone_number": "708-669-3311",
            "fax_number": "708-403-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURES PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-669-3311",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.