Active NPI
Betty Raye Contorer
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1912092057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004430
- Practice address
- 1945 W Wilson Ave
Suite 6115
Chicago, IL 60640-5259 - Phone
- (773) 561-0022
- Fax
- (773) 561-1208
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 11, 2015
- Sex
- Female
- 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 | 071004430 | IL | Primary |
Addresses
Primary practice location
1945 W Wilson Ave
Suite 6115
Chicago, IL 60640-5259
Mailing address
1945 W Wilson Ave
Suite 6115
Chicago, IL 60640-5259
Phone (773) 561-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004430 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1912092057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 W WILSON AVE",
"address_2": "SUITE 6115",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405259",
"telephone_number": "773-561-0022",
"fax_number": "773-561-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 W WILSON AVE",
"address_2": "SUITE 6115",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405259",
"telephone_number": "773-561-0022",
"fax_number": "773-561-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTORER",
"first_name": "BETTY",
"middle_name": "RAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Continental Nursing and Rehabilitation Center LLC
- Continental Portable X-Ray Service
- Continental Therapeutic Services, Inc.
- Contingency Physical Therapy PLLC
- Continuing the Journey LLC
- Sarah L Contorer, LCSW
- Leesa Contorino, PSY.D.
- Contos Smile Center, LTD.
- Aristides P Contos, DDS
- Maria Sinis Contos, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.