Active NPI
Cecily Kanter Center for Psychological Services Incorporate
- Clinical Psychologist
- Buffalo Grove, IL
National Provider Identifier
1558100545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CECILY KANTER CENTER FOR PSYCHOLOGICAL SERVICES INCORPORATE
- Practice address
- 750 W Lake Cook Rd Ste 105
Buffalo Grove, IL 60089-2093 - Phone
- (847) 814-5031
- Fax
- (847) 259-8891
- NPI assigned
- May 21, 2024
- 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
- Cecily Kanter, PSYD
- Title
- Owner
- Phone
- (847) 525-7504
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
750 W Lake Cook Rd Ste 105
Buffalo Grove, IL 60089-2093
Mailing address
750 W Lake Cook Rd Ste 105
Buffalo Grove, IL 60089-2093
Phone (847) 814-5031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1151 McHenry Rd
Buffalo Grove, IL 60089
750 W Lake Cook Rd
Ste 105
Buffalo Grove, IL 60089
Phone (312) 872-8210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Buffalo Grove, IL
- NPI 1245575059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1558100545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 W LAKE COOK RD STE 105",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892093",
"telephone_number": "847-814-5031",
"fax_number": "847-259-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W LAKE COOK RD STE 105",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892093",
"telephone_number": "847-814-5031",
"fax_number": "847-259-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CECILY KANTER CENTER FOR PSYCHOLOGICAL SERVICES INCORPORATE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "KANTER",
"authorized_official_first_name": "CECILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-525-7504",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.