Organization Active NPI

Michael W Glavin LMFT & Associates LLC

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1609329952
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000952 Issued in IL
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

Updated by the provider on Aug 3, 2016

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.