Active NPI
Michael W Glavin LMFT & Associates LLC
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1609329952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000952
- Legal business name
- MICHAEL W GLAVIN LMFT & ASSOCIATES LLC
- Practice address
- 111 N Wabash Ave Ste 1622
Chicago, IL 60602-3038 - Phone
- (312) 470-0788
- NPI assigned
- Aug 3, 2016
- 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
- Mr. Michael W Glavin, LMFT
- Title
- President
- Phone
- (312) 672-1621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000952 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave Ste 1622
Chicago, IL 60602-3038
Mailing address
111 N Wabash Ave Ste 1722
Chicago, IL 60602-2007
Phone (312) 470-0788
Other names 1
- Center for Relational Transformation
National Provider Directory
National Provider DirectoryLocations
111 N Wabash Ave
Ste 1622
Chicago, IL 60602
Phone (312) 470-0788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1609329952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE STE 1722",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022007",
"telephone_number": "312-470-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE STE 1622",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023038",
"telephone_number": "312-470-0788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL W GLAVIN LMFT & ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "GLAVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-672-1621",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Relational Transformation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.