Psychotherapy and Assessment of Hyde Park

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007702 Issued in IL

Legal business name

PSYCHOTHERAPY AND ASSESSMENT OF HYDE PARK

Practice address

1525 E 55TH St
Suite 301B
Chicago, IL 60615-5512

Phone

(773) 771-8759

NPI assigned

Nov 10, 2014

Last updated

Nov 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Gregoire, PSY.D.

Title

Managing Member

Phone

(773) 771-8759

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1699171207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 55TH ST",
            "address_2": "SUITE 301B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 55TH ST",
            "address_2": "SUITE 301B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155512",
            "telephone_number": "773-771-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY AND ASSESSMENT OF HYDE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "773-771-8759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007702",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychological Services Center Inc.
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• Psychological Services, PC (Center of Police Psychological Services)
• Psychology Center P.C.
• Psychology Resources, Inc.
• Psychotherapy Associates of Chicago
• Psychsomatica PLLC
• Psychsomatica PLLC
• Christana Psyhojos
• PT Pearls, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.