Active NPI
Transformedge, P.C.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1528691748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TRANSFORMEDGE, P.C.
- Practice address
- 53 W Jackson Blvd Ste 824
Chicago, IL 60604-3487 - Phone
- (312) 835-7988
- NPI assigned
- Feb 17, 2020
- Last updated
- Apr 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Chen
- Title
- President
- Phone
- (312) 835-7988
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Social Worker | 104100000X | NU |
Addresses
Primary practice location
53 W Jackson Blvd Ste 824
Chicago, IL 60604-3487
Mailing address
PO Box 2193
Northbrook, IL 60065-2193
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1114152816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1528691748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2193",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600652193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W JACKSON BLVD STE 824",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043487",
"telephone_number": "312-835-7988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMEDGE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-17",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-835-7988"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Transformative Insights Counseling PLLC
- Transformative Psychotherapy LLC
- Transformative Therapy Inc
- Transformative Wellness, Inc
- Transformed Therapy & Wellness Center LLC
- Transforming, Educating, & Empowering Children and Humanity
- Transit Mobility Solutions LLC
- Transportation for All, Inc. (Transportation 4 All)
- Laura L Trapani, LCSW
- Cadence Trapini, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.