Active NPI
Caressa Chester
- Psychologist
- Chicago, IL
National Provider Identifier
1609617893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6851115900
- Practice address
- 1806 W Cuyler Ave Ste 3E
Chicago, IL 60613-2541 - Phone
- (623) 680-5625
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6851115900 | Primary |
Addresses
Primary practice location
1806 W Cuyler Ave Ste 3E
Chicago, IL 60613-2541
Mailing address
808 Delery St
New Orleans, LA 70117-1554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1609617893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 DELERY ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701171554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W CUYLER AVE STE 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132541",
"telephone_number": "623-680-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESTER",
"first_name": "CARESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "6851115900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.