Private Practice

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

149015655 Issued in IL

Legal business name

PRIVATE PRACTICE

Practice address

30 N Michigan Ave
Suite 1002
Chicago, IL 60602-3402

Phone

(786) 269-6864

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth Jane Reinecke, LCSW

Title

Psychotherapist

Phone

(786) 269-6864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1811374309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W WINNEMAC AVE",
            "address_2": "APT. 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402850",
            "telephone_number": "786-269-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 1002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "786-269-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "REINECKE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "786-269-6864",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149015655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jane Pritz, PA-C
• Rachel Neems Pritzker, MD
• Prius Health Medical Group SC
• Private Home Care Unlimited, Inc.
• Private Practice
• Private Practice of P Quehl
• Amanda S Privett, LCSW
• Ellena Marie Privitera
• Shubadra Priyadarshini, MD
• Priyanka Patel PC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.