Organization Active NPI

Jillian Caliendo PSYD Inc

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1679061188
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
071.009708 Issued in IL
Legal business name
JILLIAN CALIENDO PSYD INC
Practice address
25 E Washington St Ste 908
Chicago, IL 60602-1718
Phone
(312) 985-6855
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Dr. Jillian Caliendo, PSYD
Title
President
Phone
(312) 985-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 071.009708 IL Primary

Addresses

Primary practice location

25 E Washington St Ste 908
Chicago, IL 60602-1718

Mailing address

25 E Washington St Ste 908
Chicago, IL 60602-1718
Phone (312) 985-6855

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 908
Chicago, IL 60602
Phone (312) 985-6855

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1679061188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021718",
            "telephone_number": "312-985-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021718",
            "telephone_number": "312-985-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN CALIENDO PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CALIENDO",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-985-6855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071.009708",
            "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 30, 2018; 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.