Process Psychotherapy PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PROCESS PSYCHOTHERAPY PLLC

Practice address

1 E Erie St Ste 525-3244
Chicago, IL 60611-2740

Phone

(312) 910-5096

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Carly Bueltel, PSYDNPI 1376201897

Title

Owner/Clinical Psychologist

Phone

(312) 910-5096

Specialties & licenses 1

Addresses

Locations

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.

• Carly Jayne Bueltel, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1376201897
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695513600000",
    "number": "1861181687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-3244",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-3244",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "312-910-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCESS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "BUELTEL",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-910-5096",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.