Individual provider Active NPI

Paul Aaron Cantz, PSY.D., ABPP

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1730485772
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008080 Issued in IL
Practice address
17 N Dearborn St
Chicago, IL 60602-4310
Phone
(773) 761-0013
NPI assigned
Feb 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071008080 IL
Addiction (Substance Use Disorder) Psychologist 103TA0400X 071008080 IL
Clinical Child & Adolescent Psychologist 103TC2200X 071008080 IL
Family Psychologist 103TF0000X 071008080 IL
Psychoanalysis Psychologist 103TP0814X 071008080 IL
Group Psychotherapy Psychologist 103TP2701X 071008080 IL
Clinical Psychologist 103TC0700X 071008080 IL Primary

Addresses

Primary practice location

17 N Dearborn St
Chicago, IL 60602-4310

Mailing address

9444 Keeler Ave
Skokie, IL 60076-1443
Phone (847) 877-9578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 7, 2024 through Aug 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008080ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Wellness, LLC CurrentSince Apr 6, 2021 Accepting new patients
Yehi Ohr - Jewish Institute for Psychological Advancement Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1730485772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 KEELER AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761443",
            "telephone_number": "847-877-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "773-761-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTZ",
        "first_name": "PAUL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IL",
            "license": "071008080",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.