The Baldwin Center for Psychological Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

071-003162 Issued in IL

Legal business name

THE BALDWIN CENTER FOR PSYCHOLOGICAL SERVICES

Practice address

2215 Lakeside Dr
Bannockburn, IL 60015-1265

Phone

(847) 295-1600

NPI assigned

Nov 3, 2009

Last updated

Nov 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John W Baldwin, PH.D

Title

Clinical Director

Phone

(847) 295-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1851628408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-295-1600",
            "fax_number": "847-295-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-295-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALDWIN CENTER FOR PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "847-295-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071-003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Still Water Physical Therapy and Massage, LTD
• Sharon Judith Strauss, PHD
• Zechariah Kaine Strine, LSW
• Jane Lucile Sussman, MSW., LSW.
• Sean Sutphen, DO
• Nancy Thomas, MPT
• Brittany Lynn Tobin, NP-C
• Amanda J Traficanti, PT
• Unique Medical Imaging SC
• Vision Service, Inc. (Eye Care For You)

• Adult Mental Health Clinic/Center in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.