Active NPI
Philip Held, PH.D.
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009412
- Practice address
- 1645 W Jackson Blvd
Suite 302
Chicago, IL 60612-3276 - Phone
- (312) 942-1423
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009412 | IL | Primary |
Addresses
Primary practice location
1645 W Jackson Blvd
Suite 302
Chicago, IL 60612-3276
Mailing address
1645 W Jackson Blvd
Suite 302
Chicago, IL 60612-3276
Phone (312) 942-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
325 S Paulina St
Chicago, IL 60612-3206
Phone (312) 942-8387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009412 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Clinical | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1645 W Jackson Blvd
Ste 602
Chicago, IL 60612
Phone (312) 942-8387
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1645 W Jackson Blvd
Ste 302
Chicago, IL 60612
Phone (312) 563-9012
Interoperability endpoints
- pheld119528@direct.rush.rush-health.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1679008437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 W JACKSON BLVD",
"address_2": "SUITE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123276",
"telephone_number": "312-942-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W JACKSON BLVD",
"address_2": "SUITE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123276",
"telephone_number": "312-942-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELD",
"first_name": "PHILIP",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009412",
"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 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.