Promontory Psychotherapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PROMONTORY PSYCHOTHERAPY INC

Practice address

5300 S Shore Dr Ste 201
Chicago, IL 60615-5777

Phone

(708) 320-1828

NPI assigned

May 30, 2022

Organization subpart

No

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

Authorized official

Name

Mallory Price, LCSWNPI 1083085963

Title

Clinical Director

Phone

(708) 320-1828

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallory Price, A.M., LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1083085963
  NPD Authorized official
• Kathryn Baron, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1356080345
  NPD

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

{
    "created_epoch": "1653868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1831838804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155777",
            "telephone_number": "708-320-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155777",
            "telephone_number": "708-320-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMONTORY PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-30",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-320-1828",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083085963",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mallory-price.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Encrypted Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1461 E 56th St Apt 1W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606376885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Promed Medical Supplies
• Promed Pharmacy Inc
• Promed Preferred Il 4 PLLC
• Promedix
• Promedix LLC
• Jacqueline Sunja Prompton, D.D.S
• Joshua Harper Prompton, DDS
• Veronica Pronitcheva
• Propel Psychotherapy, PLLC
• Proper Balance Healthcare

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.