NPIMap

Organization Active NPI

Insight Psychological Center, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1619295870
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014137 Issued in IL
Legal business name
INSIGHT PSYCHOLOGICAL CENTER, LLC
Practice address
205 N Michigan Ave
301
Chicago, IL 60601-5927
Phone
(312) 540-9955
NPI assigned
May 12, 2010
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Nevila McDougal
Title
Billing Coordinator
Phone
(847) 274-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014137 IL Primary

Addresses

Primary practice location

205 N Michigan Ave
301
Chicago, IL 60601-5927

Mailing address

205 N Michigan Ave
301
Chicago, IL 60601-5927
Phone (312) 540-9955

National Provider Directory

National Provider Directory
Tax ID family
Insight Behavioral Health Centers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 N Michigan Ave
Ste 301
Chicago, IL 60601

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1619295870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015927",
            "telephone_number": "312-540-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015927",
            "telephone_number": "312-540-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOLOGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "NEVILA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "847-274-1222"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014137",
            "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 May 12, 2010; 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.