Ditchek Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DITCHEK PSYCHOLOGICAL SERVICES, PLLC

Practice address

1580 N Northwest Hwy Ste 228E
Park Ridge, IL 60068-1468

Phone

(847) 390-0800

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ditchek, PSY.D.NPI 1548220866

Title

Manager

Phone

(847) 390-0800

Specialties & licenses 1

Addresses

Other names 1

• Ditchek Psychological Services, PLLC Former legal business name

Locations

Practitioners 1

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

• Lisa Ann Ditchek, PSYD

  • Psychologist
  • Niles, IL
  • NPI 1548220866
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1679198055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 228E",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681468",
            "telephone_number": "847-390-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 228E",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681468",
            "telephone_number": "847-390-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITCHEK PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "DITCHEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-390-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ditchek Psychological Services, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marshall Lewis Dines, MD
• Janette M. Dingee, LCPC
• Dinzen Med LLC
• Anna Diprova
• Carson Thomas Discher, MD
• Domenic A. Divito
• Julia Dixon, ED.S., NCSP
• Yashika Dixon, MD
• Zeljana Djukic
• Dmi Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.