Organization Active NPI

Loop Psychotherapy, P.C.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1740877026
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LOOP PSYCHOTHERAPY, P.C.
Practice address
200 E Randolph St Ste 5100
Chicago, IL 60601-6528
Phone
(773) 517-5211
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Dr. David Berkman, PSYD
Title
Licensed Clinical Psychologist
Phone
(773) 517-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

200 E Randolph St Ste 5100
Chicago, IL 60601-6528

Mailing address

200 E Randolph St Ste 5100
Chicago, IL 60601-6528

Other practice location 1

200 E Randolph St Ste 1500
Chicago, IL 60601-6426
Phone (312) 485-9801

National Provider Directory

National Provider Directory

Locations

200 E Randolph St
Ste 1500
Chicago, IL 60601
Phone (312) 485-9801

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1740877026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RANDOLPH ST STE 5100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RANDOLPH ST STE 5100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016528",
            "telephone_number": "773-517-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Randolph St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606016426",
            "country_code": "US",
            "telephone_number": "312-485-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOOP PSYCHOTHERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BERKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-517-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "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 Dec 21, 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.