Organization Active NPI

Lauren Nichols PSYD PLLC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1730816455
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LAUREN NICHOLS PSYD PLLC
Practice address
30 N Michigan Ave Ste 1908
Chicago, IL 60602-3625
Phone
(773) 354-1495
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Lauren Nichols, PSYDNPI 1770167975
Title
Owner/Licensed Clinical Psychologis
Phone
(773) 354-1495

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1908
Chicago, IL 60602-3625

Mailing address

30 N Michigan Ave Ste 1908
Chicago, IL 60602-3625
Phone (773) 354-1495

National Provider Directory

National Provider Directory

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1730816455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023625",
            "telephone_number": "773-354-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023625",
            "telephone_number": "773-354-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN NICHOLS PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL PSYCHOLOGIS",
        "authorized_official_telephone_number": "773-354-1495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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 Aug 3, 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.