Active NPI
Silvia Henriquez Gerken
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1841740974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009383
- Practice address
- 2219 N Kenmore Ave
Suite 300
Chicago, IL 60614-3504 - Phone
- (773) 325-4946
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009383 | IL | Primary |
Addresses
Primary practice location
2219 N Kenmore Ave
Suite 300
Chicago, IL 60614-3504
Mailing address
2219 N Kenmore Ave
Suite 300
Chicago, IL 60614-3504
Phone (773) 325-4946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009383 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1841740974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 N KENMORE AVE",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143504",
"telephone_number": "773-325-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 N KENMORE AVE",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143504",
"telephone_number": "773-325-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUEZ GERKEN",
"first_name": "SILVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009383",
"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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.