Organization Active NPI

Sandstone Therapy Chicago PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1861203309
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SANDSTONE THERAPY CHICAGO PLLC
Doing business as
Sandstone Therapy Chicago PLLC
Practice address
2015 W Dickens Ave Apt G
Chicago, IL 60647-4530
Phone
(219) 728-8644
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Bridget Clare Donnelly, LCSWNPI 1609552256
Title
Mental Health Therapist
Phone
(219) 728-8644

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2015 W Dickens Ave Apt G
Chicago, IL 60647-4530

Mailing address

2015 W Dickens Ave Apt G
Chicago, IL 60647-4530
Phone (219) 728-8644

Other names 1

  • Sandstone Therapy Chicago PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1861203309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W DICKENS AVE APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474530",
            "telephone_number": "219-728-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W DICKENS AVE APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474530",
            "telephone_number": "219-728-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE THERAPY CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "219-728-8644",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandstone Therapy Chicago PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2025; 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.