Active NPI
Paul Aaron Cantz, PSY.D., ABPP
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1730485772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008080
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 071008080 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchard Wellness, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Skokie, IL
- NPI 1295312221
-
- Clinical Psychologist
- Chicago, IL
- NPI 1598035305
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.