Maitri Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAITRI PSYCHOLOGICAL SERVICES, PLLC

Practice address

3320 W Foster Ave Ste 121
Chicago, IL 60625-4813

Phone

(630) 272-4808

NPI assigned

Nov 21, 2020

Organization subpart

No

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

Authorized official

Name

Dipali Bharadwaj, PSYD

Title

Executive Director

Phone

(630) 272-4808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1689277576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W FOSTER AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W FOSTER AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254813",
            "telephone_number": "630-272-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "BHARADWAJ",
        "authorized_official_first_name": "DIPALI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-272-4808",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Mainville, MD
• Maison Health LLC
• Shishir K Maithel, MD
• Brianna Maitland, RD, LDN
• Megha Maitra, M.S. CCC-SLP
• Jordan Maivelett, M.D.
• Max Maizels, MD
• Stephanie Ann Maj, D.C.
• Craig Majcher, PA-C
• Omer Majdobeh

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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