Active NPI
Orbit Mental Health Centers, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1710220355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ORBIT MENTAL HEALTH CENTERS, LLC
- Practice address
- 333 N Michigan Ave
Suite 1900
Chicago, IL 60601-3901 - Phone
- (773) 321-2757
- NPI assigned
- Apr 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nevila McDougal
- Title
- Coo
- Phone
- (773) 321-2757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
333 N Michigan Ave
Suite 1900
Chicago, IL 60601-3901
Mailing address
333 N Michigan Ave
Suite 1900
Chicago, IL 60601-3901
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1710220355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE",
"address_2": "SUITE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE",
"address_2": "SUITE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013901",
"telephone_number": "773-321-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORBIT MENTAL HEALTH CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "MCDOUGAL",
"authorized_official_first_name": "NEVILA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "773-321-2757"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"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 Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.