Red Neuron Group, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RED NEURON GROUP, PLLC

Practice address

5310 N Harlem Ave Ste 204B
Chicago, IL 60656-1865

Phone

(847) 997-8062

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Clark R Thompson, PSYDNPI 1003284274

Title

Owner/Provider

Phone

(847) 997-8062

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Clark Robert Thompson, MA

  • Student in an Organized Health Care Education/Training Program
  • Fayetteville, AR
  • NPI 1003284274
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1801640131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7536 W STRONG ST",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607063419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N HARLEM AVE STE 204B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561865",
            "telephone_number": "847-997-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED NEURON GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "847-997-8062",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayla K Reda
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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.