Organization Active NPI

Harmony Center for Holistic Psychotherapy

  • Psychologist
  • Loves Park, IL
National Provider Identifier
1578847042
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
180003465 Issued in IL
Legal business name
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY
Practice address
6625 N 2ND St
Loves Park, IL 61111-3744
Phone
(815) 639-0300
Fax
(815) 639-0303
NPI assigned
Oct 3, 2011
Organization subpart
Yes
Parent organization
LISA A. BREISCH, PSY.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Lisa A. Breisch, PSY.D.NPI 1629099627
Title
Psychologist
Phone
(815) 639-0300

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 180003465 IL Primary

Addresses

Primary practice location

6625 N 2ND St
Loves Park, IL 61111-3744

Mailing address

6625 N 2ND St
Loves Park, IL 61111-3744
Phone (815) 639-0300

National Provider Directory

National Provider Directory

Locations

6625 N 2nd St
Loves Park, IL 61111
Phone (815) 639-0300

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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1578847042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 N 2ND ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113744",
            "telephone_number": "815-639-0300",
            "fax_number": "815-639-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 N 2ND ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113744",
            "telephone_number": "815-639-0300",
            "fax_number": "815-639-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LISA A. BREISCH, PSY.D.",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BREISCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-639-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "180003465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.