Organization Active NPI

Resilience Psychological Services, PC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1629443536
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RESILIENCE PSYCHOLOGICAL SERVICES, PC
Practice address
303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone
(708) 567-4950
NPI assigned
Dec 3, 2015
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Ryan Dump, PSYDNPI 1164779476
Title
President
Phone
(312) 600-3935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Mailing address

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420000003 IL Part B Supplier - Clinic/Group Practice 0547568891 Receives reassigned benefits from 8 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1629443536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "708-567-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "DUMP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-600-3935",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.