Organization Active NPI

Honestly Olive Holistic Mental Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1710518865
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HONESTLY OLIVE HOLISTIC MENTAL HEALTHCARE
Practice address
1 E Erie St Ste 525-5175
Chicago, IL 60611-2740
Phone
(312) 292-9739
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Alev G Ildiz, PSYDNPI 1164062782
Title
Co-Founder/Clinical Psychologist
Phone
(312) 292-9739

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 E Erie St Ste 525-5175
Chicago, IL 60611-2740

Mailing address

1 E Erie St Ste 525-5175
Chicago, IL 60611-2740
Phone (312) 292-9739

Other identifiers 2

IdentifierTypeStateIssuer
1003240516OtherILLICENSED PSYCHOLOGIST
1164062782OtherILLICENSED PSYCHOLOGIST

National Provider Directory

National Provider Directory

Locations

1 E Erie St
Ste 5255175
Chicago, IL 60611
Phone (312) 292-9739

180 N Michigan Ave
Ste 1909
Chicago, IL 60601
Phone (312) 806-0514

Practitioners & affiliated clinicians

Practitioners 2

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1710518865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-5175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "312-292-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-5175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "312-292-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONESTLY OLIVE HOLISTIC MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ILDIZ",
        "authorized_official_first_name": "ALEV",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO-FOUNDER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-292-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "1003240516",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "1164062782",
            "state": "IL"
        }
    ],
    "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 Jun 6, 2022; 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.