Active NPI
Scott Pasieka, LPC
- Psychologist
- Chicago, IL
National Provider Identifier
1689174971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 178.013441
- Practice address
- 235 W Van Buren St Unit 3109
Chicago, IL 60607-3939 - Phone
- (170) 899-7019
- Fax
- (708) 997-0194
- NPI assigned
- Feb 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 178.013441 | IL | Primary |
Addresses
Primary practice location
235 W Van Buren St Unit 3109
Chicago, IL 60607-3939
Mailing address
235 W Van Buren St Unit 3109
Chicago, IL 60607-3939
Phone (708) 997-0194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.013441 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1689174971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W VAN BUREN ST UNIT 3109",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073939",
"telephone_number": "708-997-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W VAN BUREN ST UNIT 3109",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073939",
"telephone_number": "170-899-7019",
"fax_number": "708-997-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASIEKA",
"first_name": "SCOTT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-13",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "178.013441",
"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 Feb 13, 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.