Organization Active NPI

Psyche Net Inc

  • Social Worker
  • Evanston, IL
National Provider Identifier
1558587642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
PSYCHE NET INC
Practice address
9509 Crawford Ave
Evanston, IL 60203-1012
Phone
(847) 924-0591
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judith B Schechtman, MSW LCSWNPI 1548486731
Title
Owner
Phone
(847) 924-0591

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X IL Primary

Addresses

Primary practice location

9509 Crawford Ave
Evanston, IL 60203-1012

Mailing address

9509 Crawford Ave
Evanston, IL 60203-1012
Phone (847) 924-0591

National Provider Directory

National Provider Directory

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558587642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9509 CRAWFORD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031012",
            "telephone_number": "847-924-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 CRAWFORD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031012",
            "telephone_number": "847-924-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE NET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHECHTMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-924-0591",
        "authorized_official_credential": "MSW  LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.