Active NPI
Vukotic Intercultural Psychology & Associates, PLLC
- Clinical Psychologist
- Park Ridge, IL
National Provider Identifier
1639869688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VUKOTIC INTERCULTURAL PSYCHOLOGY & ASSOCIATES, PLLC
- Practice address
- 1550 N Northwest Hwy Ste 200
Park Ridge, IL 60068-1459 - Phone
- (872) 808-0068
- NPI assigned
- May 12, 2023
- 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
- Dr. Tatiana Vukotic, PSYD
- Title
- Chief Executive Officer
- Phone
- (872) 808-0068
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Health Service Psychologist | 103TH0100X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
1550 N Northwest Hwy Ste 200
Park Ridge, IL 60068-1459
Mailing address
714 Walnut Dr Apt 110
Darien, IL 60561-4709
Phone (847) 877-1691
Other practice location 1
714 Walnut Dr Apt 110
Darien, IL 60561-4709
Phone (847) 877-1691
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Chicago, IL
- NPI 1255839684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683849600000",
"number": "1639869688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 WALNUT DR APT 110",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614709",
"telephone_number": "847-877-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N NORTHWEST HWY STE 200",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681459",
"telephone_number": "872-808-0068"
}
],
"practiceLocations": [
{
"address_1": "714 Walnut Dr Apt 110",
"address_purpose": "LOCATION",
"city": "Darien",
"state": "IL",
"postal_code": "605614709",
"country_code": "US",
"telephone_number": "847-877-1691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VUKOTIC INTERCULTURAL PSYCHOLOGY & ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "VUKOTIC",
"authorized_official_first_name": "TATIANA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "872-808-0068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.