Organization Active NPI

Benedict Psychological Services

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1801442678
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BENEDICT PSYCHOLOGICAL SERVICES
Practice address
155 N Michigan Ave Ste 758
Chicago, IL 60601-7711
Phone
(872) 256-1418
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Dr. Stephanie Benedict, PSY.D.NPI 1659874469
Title
Founder
Phone
(773) 771-2970

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

155 N Michigan Ave Ste 758
Chicago, IL 60601-7711

Mailing address

155 N Michigan Ave Ste 758
Chicago, IL 60601-7711

National Provider Directory

National Provider Directory

Locations

155 N Michigan Ave
Ste 758
Chicago, IL 60601
Phone (312) 625-3720

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1801442678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 758",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 758",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017711",
            "telephone_number": "872-256-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-771-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "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 Aug 16, 2019; 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.