Centered Mind Psychotherapy, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTERED MIND PSYCHOTHERAPY, PLLC

Practice address

53 W Jackson Blvd Ste 1334
Chicago, IL 60604-3548

Phone

(312) 725-0194

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen K. Emery, PHDNPI 1154835932

Title

Licensed Clinical Psychologist

Phone

(312) 925-0194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Emery, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1154835932
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1669135307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043548",
            "telephone_number": "312-925-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043548",
            "telephone_number": "312-725-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED MIND PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-925-0194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.