Organization Active NPI

CBT Center of Chicago, PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1790376366
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CBT CENTER OF CHICAGO, PLLC
Practice address
5620 S Blackstone Ave
Chicago, IL 60637-1828
Phone
(773) 850-3715
Fax
(773) 825-8274
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Deepika Anand, PHDNPI 1144798117
Title
Clinical Psychologist/ Owner
Phone
(847) 999-8493

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5620 S Blackstone Ave
Chicago, IL 60637-1828

Mailing address

2515 W Lawrence Ave Apt 3N
Chicago, IL 60625-3679
Phone (847) 999-8493

National Provider Directory

National Provider Directory

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1790376366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W LAWRENCE AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253679",
            "telephone_number": "847-999-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 S BLACKSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371828",
            "telephone_number": "773-850-3715",
            "fax_number": "773-825-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBT CENTER OF CHICAGO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "847-999-8493",
        "authorized_official_credential": "PHD"
    },
    "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 Jan 27, 2021; 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.