Organization Active NPI

Hyssop Modification Services,Inc

  • Psychologist
  • Chicago, IL
National Provider Identifier
1740200682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HYSSOP MODIFICATION SERVICES,INC
Practice address
5835 W Division St
Chicago, IL 60651-1008
Phone
(773) 626-3613
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larysa Maria Mykytiuk, 7736263613
Title
Main Doctor
Phone
(773) 626-3613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5835 W Division St
Chicago, IL 60651-1008

Mailing address

5835 W Division St
Chicago, IL 60651-1008
Phone (773) 626-3613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740200682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511008",
            "telephone_number": "773-626-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511008",
            "telephone_number": "773-626-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYSSOP MODIFICATION SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYKYTIUK",
        "authorized_official_first_name": "LARYSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MAIN DOCTOR",
        "authorized_official_telephone_number": "773-626-3613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "7736263613"
    },
    "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 22, 2020; 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.