Edward J. Frischholz, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004383 Issued in IL

Legal business name

EDWARD J. FRISCHHOLZ, PH.D., PC

Practice address

6301 N Sheridan Rd
Unit C2
Chicago, IL 60660-1728

Phone

(773) 761-6625

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Edward J Frischholz, PH.D., PC

Title

Owner

Phone

(773) 761-6625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1518288679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N SHERIDAN RD",
            "address_2": "UNIT C2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601728",
            "telephone_number": "773-761-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N SHERIDAN RD",
            "address_2": "UNIT C2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601728",
            "telephone_number": "773-761-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. FRISCHHOLZ, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "FRISCHHOLZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-761-6625",
        "authorized_official_credential": "PH.D., PC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.