NPIMap

Organization Active NPI

Journey Psychology Center, LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1891496907
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JOURNEY PSYCHOLOGY CENTER, LLC
Practice address
4164 N Lincoln Ave Ste C1S
Chicago, IL 60618-3083
Phone
(312) 780-0330
Fax
(312) 312-9641
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Irma P. Khelghati, PSY.D.NPI 1891044038
Title
Executive Director & LCP
Phone
(312) 870-0330

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4164 N Lincoln Ave Ste C1S
Chicago, IL 60618-3083

Mailing address

4164 N Lincoln Ave Ste C1S
Chicago, IL 60618-3083
Phone (312) 780-0330

Other names 1

  • Irma P Khelghati, PsyD, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4164 N Lincoln Ave
Ste C1S
Chicago, IL 60618
Phone (312) 780-0330

Practitioners & affiliated clinicians

Practitioners 2

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": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1891496907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 N LINCOLN AVE STE C1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183083",
            "telephone_number": "312-780-0330",
            "fax_number": "312-312-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 N LINCOLN AVE STE C1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183083",
            "telephone_number": "312-780-0330",
            "fax_number": "312-312-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PSYCHOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "KHELGHATI",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & LCP",
        "authorized_official_telephone_number": "312-870-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irma P Khelghati, PsyD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 15, 2023; 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.