Active NPI
Ashley Dolan, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1659723765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009424
- Practice address
- 155 N Michigan Ave Ste 223
Chicago, IL 60601-7511 - Phone
- (773) 299-8387
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.009424 | IL | |
| Clinical Psychologist | 103TC0700X | 020149 | NY | |
| Clinical Psychologist | 103TC0700X | 071009424 | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave Ste 223
Chicago, IL 60601-7511
Mailing address
186 Joralemon St
Fifth Floor
Brooklyn, NY 11201-4356
Phone (718) 237-4572
Other practice location 1
186 Joralemon St
fifth floor
Brooklyn, NY 11201-4356
Phone (718) 237-4572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009424 | IL | MD | Psychologist |
| 071009424 | IL | MD | Clinical Psychologist |
| 020149 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Narratives | Current | Accepting new patients |
Locations
155 N Michigan Ave
Ste 223
Chicago, IL 60601
Phone (773) 299-8387
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1568056141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1659723765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 JORALEMON ST",
"address_2": "FIFTH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014356",
"telephone_number": "718-237-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 223",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017511",
"telephone_number": "773-299-8387"
}
],
"practiceLocations": [
{
"address_1": "186 Joralemon St",
"address_2": "fifth floor",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112014356",
"country_code": "US",
"telephone_number": "718-237-4572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "ASHLEY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.009424",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020149",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009424",
"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 Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.