Self Empowerment Center, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SELF EMPOWERMENT CENTER, PC

Practice address

1751 South Naperville Road
Suite #207
Wheaton, IL 60189

Phone

(630) 774-8316

Fax

(630) 690-3353

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Asif Ali Khan, PSYD

Title

President

Phone

(630) 774-8316

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• S.H.I.F.A. Former legal business name

Tax ID family

Self Empowerment Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Self Empowerment Center, P.C.

  • Adult Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1134301815
  NPD tax ID

Locations

Practitioners 1

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

• Yasmeen Khan, PSYD

  • Psychologist
  • Wheaton, IL
  • NPI 1417139106
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1871615468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SOUTH NAPERVILLE ROAD",
            "address_2": "SUITE #207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-774-8316",
            "fax_number": "630-690-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SOUTH NAPERVILLE ROAD",
            "address_2": "SUITE #207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-774-8316",
            "fax_number": "630-690-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPOWERMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-774-8316",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01623115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.H.I.F.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Seisser, LSW
• Emily Sekiewicz, PHARMD
• Margaret T Sekowski, LCPC, CADC
• Scott A Selby, DC
• Self Empowerment Center, P.C.
• Virginia Selle, PHD, LCPC, NCC, LMT
• Allie Sellett
• Daniella Seng
• Senior Medical Care, PLLC
• Felicia M Senjanovich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.