NPIMap

Organization Active NPI

Emily Edelman Psychotherapy, an Illinois Corporation

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1801336441
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
149.012940 Issued in IL
Legal business name
EMILY EDELMAN PSYCHOTHERAPY, AN ILLINOIS CORPORATION
Practice address
2100 S Marshall Blvd
Apt 804
Chicago, IL 60623-3679
Phone
(773) 406-9181
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Ms. Emily Edelman, LCSW
Title
Psychotherapist/Owner
Phone
(773) 406-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 149.012940 IL Primary

Addresses

Primary practice location

2100 S Marshall Blvd
Apt 804
Chicago, IL 60623-3679

Mailing address

2100 S Marshall Blvd
Apt 804
Chicago, IL 60623-3679
Phone (773) 406-9181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1801336441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S MARSHALL BLVD",
            "address_2": "APT 804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233679",
            "telephone_number": "773-406-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MARSHALL BLVD",
            "address_2": "APT 804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233679",
            "telephone_number": "773-406-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY EDELMAN PSYCHOTHERAPY, AN ILLINOIS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "773-406-9181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "149.012940",
            "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 Mar 1, 2017; 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.