Active NPI
CBT Clinic of Chicago, P.C.
- Cognitive & Behavioral Psychologist
- Chicago, IL
National Provider Identifier
1659696185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 071007344
- 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, 2010
- 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. Elise D Massie, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 071007344 | IL | Primary |
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1063609808
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.