Accesscoach Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ACCESSCOACH INC.

Practice address

102 Main St Ste 200
Park Ridge, IL 60068-4028

Phone

(847) 338-2199

Fax

(847) 292-1088

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Celiano, PSY.D

Title

Clinical Psychologist/Owner

Phone

(847) 338-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689198038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684028",
            "telephone_number": "847-338-2199",
            "fax_number": "847-292-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684028",
            "telephone_number": "847-338-2199",
            "fax_number": "847-292-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSCOACH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CELIANO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "847-338-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1306263173",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.