Amalgam Care

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AMALGAM CARE

Practice address

564 W Randolph St FL 2
Chicago, IL 60661-2219

Phone

(312) 804-3451

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Smith, LCPCNPI 1053708974

Title

Ceo

Phone

(312) 804-3451

Specialties & licenses 1

Addresses

Other names 1

• Synthesis Collaborative Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Smith, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1053708974
  NPD (past) Authorized official

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1801421052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 N MONTICELLO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184117",
            "telephone_number": "312-804-3451",
            "fax_number": "773-564-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W RANDOLPH ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612219",
            "telephone_number": "312-804-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALGAM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-804-3451",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synthesis Collaborative",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shawn Marie Amador, LCSW
• Kingsley Chibueze Amaefule, MD
• Amal Jahan Inc
• Amal K. Mukherjee MD SC
• Amalendu Majumdar M.D., S.C.
• Amali, Inc (Roseland Pharmacy One)
• Amalia Golomb-Leavitt LCSW LLC
• Bushrah Amamaalikulmulk
• Casey Thomas Aman, MD
• Zoha Aman

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.