Organization Active NPI

CBT Clinic of Chicago, P.C.

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
National Provider Identifier
1659696185
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
071007344 Issued in IL
Legal business name
CBT CLINIC OF CHICAGO, P.C.
Practice address
180 N Stetson Ave
Suite 3150
Chicago, IL 60601-6710
Phone
(312) 228-4200
Fax
(312) 540-1231
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Elise D Massie, PH.D.NPI 1063609808
Title
Owner
Phone
(312) 228-4200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 071007344 IL Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071007344 IL

Addresses

Primary practice location

180 N Stetson Ave
Suite 3150
Chicago, IL 60601-6710

Mailing address

180 N Stetson Ave
Suite 3150
Chicago, IL 60601-6710
Phone (312) 228-4200

National Provider Directory

National Provider Directory

Locations

180 N Stetson Ave
Ste 3150
Chicago, IL 60601
Phone (312) 228-4200

Practitioners & affiliated clinicians

Practitioners 1

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1659696185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N STETSON AVE",
            "address_2": "SUITE 3150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016710",
            "telephone_number": "312-228-4200",
            "fax_number": "312-540-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N STETSON AVE",
            "address_2": "SUITE 3150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016710",
            "telephone_number": "312-228-4200",
            "fax_number": "312-540-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBT CLINIC OF CHICAGO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-228-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071007344",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007344",
            "primary": false
        }
    ],
    "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 Mar 26, 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.