Organization Active NPI

Chicago Psychologist PC

  • Health Service Clinic/Center
  • Palatine, IL
National Provider Identifier
1891026340
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
071007182 Issued in IL
Legal business name
CHICAGO PSYCHOLOGIST PC
Practice address
355 W Northwest Hwy
Palatine, IL 60067-2414
Phone
(773) 771-6604
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Karla V Anderson, PSYD
Title
Clinical Psychologist
Phone
(773) 771-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 071007182 IL Primary

Addresses

Primary practice location

355 W Northwest Hwy
Palatine, IL 60067-2414

Mailing address

6348 N Milwaukee Ave
#143
Chicago, IL 60646-3728

National Provider Directory

National Provider Directory

Locations

6348 N Milwaukee Ave
#143
Chicago, IL 60646

355 W Northwest Hwy
Palatine, IL 60067
Phone (847) 221-4700

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1891026340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE",
            "address_2": "#143",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672414",
            "telephone_number": "773-771-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-771-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "071007182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.