Organization Active NPI

Affiliated Psychologists LTD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1760516447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AFFILIATED PSYCHOLOGISTS LTD
Practice address
4801 W Peterson Ave Ste 525
Chicago, IL 60646-5731
Phone
(773) 286-3100
Fax
(773) 777-7543
NPI assigned
Mar 15, 2007
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
Kasia Malinger
Title
Clinical Service Coordinator
Phone
(773) 286-3100

Specialties & licenses 1

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

Addresses

Primary practice location

4801 W Peterson Ave Ste 525
Chicago, IL 60646-5731

Mailing address

4801 W Peterson Ave Ste 525
Chicago, IL 60646-5731
Phone (773) 286-3100

Other identifiers 1

IdentifierTypeStateIssuer
16145677OtherILBLUECROSS BLUESHIELD ID

National Provider Directory

National Provider Directory

Locations

4801 W Peterson Ave
Ste 525
Chicago, IL 60646
Phone (773) 286-3100

7601 S Kostner Ave
Ste 304
Chicago, IL 60652
Phone (773) 286-3100

6600 N Lincoln Ave
Ste 412
Lincolnwood, IL 60712
Phone (847) 227-8323

Practitioners & affiliated clinicians

Practitioners 4

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760516447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465731",
            "telephone_number": "773-286-3100",
            "fax_number": "773-777-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465731",
            "telephone_number": "773-286-3100",
            "fax_number": "773-777-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PSYCHOLOGISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALINGER",
        "authorized_official_first_name": "KASIA",
        "authorized_official_title_or_position": "CLINICAL SERVICE COORDINATOR",
        "authorized_official_telephone_number": "773-286-3100"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID",
            "identifier": "16145677",
            "state": "IL"
        }
    ],
    "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.