Organization Active NPI

The Trauma & Anxiety Psychological Services Clinic

  • Psychologist
  • Chicago, IL
National Provider Identifier
1821984568
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC
Practice address
1114 W Balmoral Ave Apt 1E
Chicago, IL 60640-1720
Phone
(773) 379-8129
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Dr. Jeremy Saenz, PH.D.NPI 1104300482
Title
Psychologist & Sole Proprietor
Phone
(773) 379-8129

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Cognitive & Behavioral Psychologist 103TB0200X NU
Counseling Psychologist 103TC1900X NU
Group Psychotherapy Psychologist 103TP2701X NU

Addresses

Primary practice location

1114 W Balmoral Ave Apt 1E
Chicago, IL 60640-1720

Mailing address

2501 Chatham Rd Ste 8366
Springfield, IL 62704-4188
Phone (773) 379-8129

Other names 1

  • The Trauma & Anxiety Psychological Services Clinic Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1821984568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE 8366",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "773-379-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W BALMORAL AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401720",
            "telephone_number": "773-379-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PSYCHOLOGIST & SOLE PROPRIETOR",
        "authorized_official_telephone_number": "773-379-8129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Trauma & Anxiety Psychological Services Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 17, 2025; 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.