Christina Chico

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011228 Issued in IL

Practice address

7146 183Rd St Ste 160
Tinley Park, IL 60477-3933

Phone

(708) 224-8321

NPI assigned

Mar 14, 2020

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chico Psychological Services PLLC

  • Clinical Psychologist
  • Tinley Park, IL
  • NPI 1104662048
  NPD Authorized official

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1679109383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7146 183RD ST STE 160",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773933",
            "telephone_number": "773-669-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 183RD ST STE 160",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773933",
            "telephone_number": "708-224-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICO",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043332B",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043332A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E. Cherullo, LCSW
• Chiariello Behavioral Health
• Chicago Ambulance Alliance
• Chicago Podiatric Surgeons P.C.
• Chico Psychological Services PLLC
• Angel Childress
• Samuel Herman Chinn, PMHNP-BC
• Chiropractic Health Services PC
• Imtiaz Choughale, R.N.
• Peter Christofylakis, PT

• Clinical Psychologist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.