Organization Active NPI

Fermata Psychotherapy, P.C.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1669964482
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019286 Issued in IL
Legal business name
FERMATA PSYCHOTHERAPY, P.C.
Practice address
53 W Jackson Blvd Ste 1450
Chicago, IL 60604-3535
Phone
(312) 725-6192
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Santiago DelboyNPI 1740672682
Title
President
Phone
(312) 520-6096

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.019286 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1450
Chicago, IL 60604-3535

Mailing address

53 W Jackson Blvd Ste 1632
Chicago, IL 60604-3734
Phone (312) 520-6096

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 1018
Chicago, IL 60604
Phone (312) 857-8545

53 W Jackson Blvd
Ste 1632
Chicago, IL 60604
Phone (312) 520-6096

53 W Jackson Blvd
Ste 1126
Chicago, IL 60604
Phone (312) 725-6142

53 W Jackson Blvd
Ste 1450
Chicago, IL 60604
Phone (312) 725-0039

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1669964482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1632",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043734",
            "telephone_number": "312-520-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043535",
            "telephone_number": "312-725-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERMATA PSYCHOTHERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "DELBOY",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-520-6096"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019286",
            "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 Apr 8, 2025; 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.