NPIMap

Organization Active NPI

Delve Psychotherapy of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1790371847
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DELVE PSYCHOTHERAPY OF CHICAGO
Practice address
1340 W Rosedale Ave # 1
Chicago, IL 60660-3438
Phone
(773) 234-1463
NPI assigned
Dec 14, 2020
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Adam Fominaya, PHD, LCPNPI 1760090385
Title
Executive and Clinical Director
Phone
(773) 234-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1340 W Rosedale Ave # 1
Chicago, IL 60660-3438

Mailing address

6301 N Sheridan Rd Apt 23K
Chicago, IL 60660-5701
Phone (773) 234-1463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1790371847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N SHERIDAN RD APT 23K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605701",
            "telephone_number": "773-234-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W ROSEDALE AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603438",
            "telephone_number": "773-234-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELVE PSYCHOTHERAPY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "FOMINAYA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-234-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 May 2, 2024; 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.