Julie Anne Chicvara, PSYD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008055 Issued in IL

Practice address

20635 Abbey Woods CT N
Suite 207
Frankfort, IL 60423-3181

Phone

(708) 473-2445

Fax

(708) 966-4363

NPI assigned

Apr 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Julie Anne Barth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295136000000",
    "number": "1689817587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14923 DOGWOOD DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623424",
            "telephone_number": "708-473-2445",
            "fax_number": "708-966-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N",
            "address_2": "SUITE 207",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233181",
            "telephone_number": "708-473-2445",
            "fax_number": "708-966-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICVARA",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2011-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006050",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01623882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BARTH",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.A., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennille Maria Chapel, MA, CCC-SLP, L
• Charles F. Martello D.D.S. P.C.
• Bertrand D Chauff, CRNA
• Paul A Chemello, D.O.
• Chicago Stem Cell Therapy Institute, LLC
• Childrens Therapy Specialist
• Kwang H Choi, PSY.D.
• Tammie Chopp, LCPC, CADC
• Jennifer Christie
• Venetia B Clark, RPH

• Clinical Psychologist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; 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.