B Nettleton PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

B NETTLETON PSYD LLC

Practice address

30 N Michigan Ave Ste 1204
Chicago, IL 60602-3725

Phone

(312) 446-5602

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Betsy Jane Nettleton, PSYDNPI 1720155062

Title

Clinical Psychologist/Owner

Phone

(312) 446-5602

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.

• Betsy Jane Nettleton, PSYD

  • Psychologist
  • Chicago, IL
  • NPI 1720155062
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1871173674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N LA SALLE DR APT 16A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107610",
            "telephone_number": "312-446-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023725",
            "telephone_number": "312-446-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B NETTLETON PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "NETTLETON",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "312-446-5602",
        "authorized_official_name_prefix": "Dr.",
        "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 Apr 14, 2021; 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.