Organization Active NPI

Associate's for Life's Challenges

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1902955164
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASSOCIATE'S FOR LIFE'S CHALLENGES
Practice address
900 W Jackson Blvd
Suite 7 West
Chicago, IL 60607-3024
Phone
(312) 455-8904
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Carolyn J. FriendNPI 1447260278
Title
Psy. D.
Phone
(312) 455-8904

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: 193400000X SINGLE SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

900 W Jackson Blvd
Suite 7 West
Chicago, IL 60607-3024

Mailing address

900 W Jackson Blvd
Suite 7 West
Chicago, IL 60607-3024
Phone (312) 455-8904

National Provider Directory

National Provider Directory

Locations

900 W Jackson Blvd
Ste 7W
Chicago, IL 60607
Phone (312) 455-8904

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1902955164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W JACKSON BLVD",
            "address_2": "SUITE 7 WEST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073024",
            "telephone_number": "312-455-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W JACKSON BLVD",
            "address_2": "SUITE 7 WEST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073024",
            "telephone_number": "312-455-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE'S FOR LIFE'S CHALLENGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSY. D.",
        "authorized_official_telephone_number": "312-455-8904",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "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 Jul 19, 2007; 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.