Organization Active NPI

Sunpath Psychotherapy, PLLC

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1841078300
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SUNPATH PSYCHOTHERAPY, PLLC
Practice address
3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260
Phone
(301) 437-6353
NPI assigned
Sep 18, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Leah W. Fishbein, LMFTNPI 1013623206
Title
Practice Owner
Phone
(301) 437-6353

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260

Mailing address

302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Phone (301) 437-6353

National Provider Directory

National Provider Directory

Locations

3717 N Ravenswood Ave
Ste 239
Chicago, IL 60613
Phone (301) 437-6353

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1841078300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SAUNDERS RD STE 200",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153897",
            "telephone_number": "301-437-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 239",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134260",
            "telephone_number": "301-437-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNPATH PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "301-437-6353",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 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.