Organization Active NPI

Child and Family Treatment, LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1700364114
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008681 Issued in IL
Legal business name
CHILD AND FAMILY TREATMENT, LLC
Practice address
2835 N Sheffield Ave Ste 221
Chicago, IL 60657-5083
Phone
(917) 482-5696
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Aryeh SovaNPI 1033540240
Title
Manager
Phone
(917) 482-5696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071008681 IL Primary

Addresses

Primary practice location

2835 N Sheffield Ave Ste 221
Chicago, IL 60657-5083

Mailing address

2835 N Sheffield Ave Ste 221
Chicago, IL 60657-5083
Phone (917) 482-5696

Other practice location 1

10024 Skokie Blvd Ste 222
Skokie, IL 60077-9989
Phone (917) 482-5696

National Provider Directory

National Provider Directory

Locations

2835 N Sheffield Ave
Ste 221
Chicago, IL 60657
Phone (917) 482-5696

10024 Skokie Blvd
Ste 222
Skokie, IL 60077
Phone (312) 564-5952

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1700364114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "917-482-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "917-482-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10024 Skokie Blvd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600779989",
            "country_code": "US",
            "telephone_number": "917-482-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND FAMILY TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "SOVA",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-482-5696"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.