Primary Care Psychology Associates

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PRIMARY CARE PSYCHOLOGY ASSOCIATES

Practice address

1333 W Belmont Ave
2ND Floor
Chicago, IL 60657-5785

Phone

(847) 686-0090

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Adam Kredow

Title

Business Manager

Phone

(847) 686-0090

Specialties & licenses 1

Addresses

Tax ID family

Primary Care Psychology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Care Psychology Associates, LLC

  • Psychiatric Hospital Unit
  • Northfield, IL
  • NPI 1790110302
  NPD tax ID

Locations

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1750824496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "SUITE 245",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W BELMONT AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575785",
            "telephone_number": "847-686-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "KREDOW",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-686-0090"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Medicus LLC
• Matthew Lee Primack, DPT
• Primary Care Medical Associates LTD
• Primary Care Plus LTD
• Primary Care Providers of Chicago SC
• Primary Care Specialists LLC
• Madisyn Arelle Primas, MD
• Jason C Primavera, D.D.S.
• Yevgeniya Primazova
• Ditte Primdahl, MD

• Local Education Agency (LEA) in Chicago, IL
• Providers in Chicago, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.