Active NPI
Brian Robert McLaughlin, LMFT
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1780816900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042617A
- Practice address
- 2825 W McLean Ave
Chicago, IL 60647-6431 - Phone
- (773) 865-6455
- Fax
- (773) 278-2456
- NPI assigned
- Aug 21, 2009
- Last updated
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042617A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 166.000724 | IL |
Addresses
Primary practice location
2825 W McLean Ave
Chicago, IL 60647-6431
Mailing address
2521 N Talman Ave
Chicago, IL 60647-1811
Phone (773) 865-6455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000724 | IL | MD | Mental Health Counselor |
| 20042617A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1780816900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 N TALMAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471811",
"telephone_number": "773-865-6455",
"fax_number": "773-278-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 W MCLEAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476431",
"telephone_number": "773-865-6455",
"fax_number": "773-278-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "BRIAN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042617A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000724",
"primary": false
}
],
"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 Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.