Organization Active NPI

Canela Psychotherapy Chicago

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1861244287
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CANELA PSYCHOTHERAPY CHICAGO
Practice address
3057 N Rockwell St Ste 261
Chicago, IL 60618-7917
Phone
(224) 319-4076
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Nathalie R Henaine, M.A., PSYDNPI 1962006015
Title
Licensed Clinical Psychological
Phone
(224) 319-4076

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3057 N Rockwell St Ste 261
Chicago, IL 60618-7917

Mailing address

3057 N Rockwell St Ste 261
Chicago, IL 60618-7917
Phone (224) 319-4076

National Provider Directory

National Provider Directory

Locations

3057 N Rockwell St
Chicago, IL 60618
Phone (312) 307-6792

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": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1861244287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 N ROCKWELL ST STE 261",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187917",
            "telephone_number": "224-319-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 N ROCKWELL ST STE 261",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187917",
            "telephone_number": "224-319-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANELA PSYCHOTHERAPY CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "HENAINE",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGICAL",
        "authorized_official_telephone_number": "224-319-4076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.A., PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "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 Sep 10, 2024; 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.