NPIMap

Organization Active NPI

Psychology Services, Incorporated

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1831211580
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
149-005827 Issued in IL
Legal business name
PSYCHOLOGY SERVICES, INCORPORATED
Practice address
15040 S Ravinia Ave
Suite 49
Orland Park, IL 60462-3194
Phone
(708) 349-4455
Fax
(708) 349-6448
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Ms. Mary Ann Karstens, LCSW, MA
Title
Clinical Director
Phone
(708) 349-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 149-005827 IL Primary

Addresses

Primary practice location

15040 S Ravinia Ave
Suite 49
Orland Park, IL 60462-3194

Mailing address

15040 S Ravinia Ave
Suite 49
Orland Park, IL 60462-3194
Phone (708) 349-4455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1831211580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15040 S RAVINIA AVE",
            "address_2": "SUITE 49",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623194",
            "telephone_number": "708-349-4455",
            "fax_number": "708-349-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15040 S RAVINIA AVE",
            "address_2": "SUITE 49",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623194",
            "telephone_number": "708-349-4455",
            "fax_number": "708-349-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KARSTENS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-349-4455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149-005827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.