Active NPI
Chandan Bhagia
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1891157095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009263
- Practice address
- 845 N State St
Unit 1809
Chicago, IL 60610-3324 - Phone
- (630) 788-9369
- NPI assigned
- Mar 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009263 | IL | Primary |
Addresses
Primary practice location
845 N State St
Unit 1809
Chicago, IL 60610-3324
Mailing address
845 N State St
Unit 1809
Chicago, IL 60610-3324
Phone (630) 788-9369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 10, 2024 through Dec 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009263 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Focused Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1780178418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458950400000",
"number": "1891157095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N STATE ST",
"address_2": "UNIT 1809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103324",
"telephone_number": "630-788-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N STATE ST",
"address_2": "UNIT 1809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103324",
"telephone_number": "630-788-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGIA",
"first_name": "CHANDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-26",
"last_updated": "2016-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009263",
"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 Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.