Chicago Psychological Health Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

180008478 Issued in IL

Legal business name

CHICAGO PSYCHOLOGICAL HEALTH CENTER, LLC

Practice address

2518 N Lincoln Ave
Chicago, IL 60614-2782

Phone

(773) 469-6675

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Alcock

Title

Therapist

Phone

(773) 469-6675

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine B Sutton

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1073171187
  NPD (past)
• Jonathan Weinberg, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1205051513
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1912332776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142782",
            "telephone_number": "773-469-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PSYCHOLOGICAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "ALCOCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-469-6675"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "180008478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Prosthetics, Inc
• Chicago Psychiatric Partners LLC
• Chicago Psychiatric PLLC (North Side Psychiatry)
• Chicago Psychoanalytic Institute
• Chicago Psychological Health and Wellness (CPHW)
• Chicago Psychological Wellness Center, PLLC
• Chicago Psychology Services , LLC
• Chicago Psychotherapy and Consulting, LLC
• Chicago Psychotherapy, PLLC
• Chicago Radiation Oncology, S.C.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.