Sunstone Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUNSTONE PSYCHOLOGY LLC

Practice address

6119 N Kenmore Ave Apt 202
Chicago, IL 60660-2704

Phone

(312) 625-7352

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Louis Joseph Formica, PH.D.NPI 1861092686

Title

Licensed Clinical Psychologist

Phone

(312) 625-7352

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis Joseph Formica, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1861092686
  NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1588323331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 N KENMORE AVE APT 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602704",
            "telephone_number": "330-348-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 N KENMORE AVE APT 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602704",
            "telephone_number": "312-625-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTONE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "FORMICA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-625-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel S. Suntay Zahn, PSYD.
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• Anthony Joseph Sunzeri, BA CADC
• Jennifer Suor, PH.D.

• 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 Dec 9, 2021; 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.