Emerge and See Psychonautics, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMERGE AND SEE PSYCHONAUTICS, PLLC

Doing business as

Emerge and See Psychonautics

Practice address

2905 Plantation Dr
Carpentersville, IL 60110-3293

Phone

(312) 206-3099

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Paul D Martin, LCPCNPI 1700156171

Title

Owner/Chief Emergence Officer

Phone

(312) 206-3099

Specialties & licenses 1

Addresses

Other names 1

• Emerge and See Psychonautics Doing business as

Practitioners 1

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.

• Paul Martin, LCPC

  • Mental Health Counselor
  • Melrose Park, IL
  • NPI 1700156171
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1811773757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 PLANTATION DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601103293",
            "telephone_number": "312-206-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 PLANTATION DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601103293",
            "telephone_number": "312-206-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE AND SEE PSYCHONAUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIEF EMERGENCE OFFICER",
        "authorized_official_telephone_number": "312-206-3099",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge and See Psychonautics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Carpentersville, IL
• Providers in Carpentersville, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.