Crosswinds Center for Personal and Professional Development, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CROSSWINDS CENTER FOR PERSONAL AND PROFESSIONAL DEVELOPMENT, PLLC

Practice address

3125 N Wilke Rd Ste a
Arlington Heights, IL 60004-1452

Phone

(833) 710-7770

Fax

(224) 345-2118

NPI assigned

Aug 8, 2017

Last updated

Apr 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Wayne Hicks, PHDNPI 1093790776

Title

Principal, Licensed Clinical Psych

Phone

(630) 849-8275

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Wayne Hicks, PHD, ABPP

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1093790776

  Professional

  Medicare reassignment Care Compare group NPD Authorized official
• Vilija Ball, PSYD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1164933479
  Medicare reassignment Care Compare group NPD
• Marc I Oster, PSY.D.

  • Psychologist
  • Deerfield, IL
  • NPI 1114069093

  Clinical

  Medicare reassignment Care Compare group NPD
• Haeun Choi, MA, ALMFT

  • Marriage & Family Therapist
  • Arlington Heights, IL
  • NPI 1104410422
  NPD
• Carinna Tello, LPC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1760259576
  NPD
• Carolyn Trujillo, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1952781577
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1811412166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N WILKE RD STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041452",
            "telephone_number": "833-710-7770",
            "fax_number": "224-345-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N WILKE RD STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041452",
            "telephone_number": "833-710-7770",
            "fax_number": "224-345-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWINDS CENTER FOR PERSONAL AND PROFESSIONAL DEVELOPMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRINCIPAL, LICENSED CLINICAL PSYCH",
        "authorized_official_telephone_number": "630-849-8275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B. Crane, M.D.
• Jennifer Crick
• Beth L Croft, P.T.
• George Louis Cromydas, M.D.
• Rob Croonborg, MES
• Jennifer J Crowley, MSCCC-SLP/L
• Lindsey Crum, MA CCC-SLP/L
• Alexus Cruz
• Kenneth Q Cruz, MD
• Crystal Care of Illinois

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, 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 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.