Willoughby Center for Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008303 Issued in IL

Legal business name

WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC

Practice address

1603 Orrington Ave.
Ste. 600
Evanston, IL 60201

Phone

(224) 585-3312

Fax

(224) 585-3619

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cindi-Marie Willoughby, PSY. D.

Title

Clinical Psychologist

Phone

(773) 814-1445

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corie Gayle Carson, MS, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1225338924
  NPD (past)
• Nathan Cash, LCPC

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1114586807
  NPD (past)
• Keisha L Downey

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1326258401
  NPD (past)
• Irma E Funes, ANP

  • Nurse Practitioner
  • Skokie, IL
  • NPI 1578817003
  NPD (past)
• Sara Mitterholzer Marx, LCPC, NCC

  • Professional Counselor
  • Lake Zurich, IL
  • NPI 1376074625
  NPD (past)
• Monica E Muciaccia Chovanec

  • School Psychologist
  • Park Ridge, IL
  • NPI 1922766682

  Single Specialty

  NPD (past)
• Claudia M Narvaez, LCPC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1700219854
  NPD (past)
• Catherine Lynn Stull, FNP BC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1053790345

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1700257581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "224-585-3312",
            "fax_number": "224-585-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE.",
            "address_2": "STE. 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "224-585-3312",
            "fax_number": "224-585-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Renaissance Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681414",
            "country_code": "US",
            "telephone_number": "224-585-3312",
            "fax_number": "224-585-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "CINDI-MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-814-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558816518-001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487929345",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily M Williams, DDS
• Lindsey Williams
• Nancy Williams, LPC
• Philip Williams
• Laura Abigail Willis
• Wilson Counseling PLLC
• Emma Wilson
• Eric James Wilson, M.D.
• Hayden Peter Wilson, OD
• Krista Wilson, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.