Latifat Cabirou, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010777 Issued in IL

Practice address

2622 W Cermak Rd
Chicago, IL 60608-6172

Phone

(312) 953-4924

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Imole Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1700561859
  NPD Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1912374968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 COMMONWEALTH AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123663",
            "telephone_number": "773-679-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086172",
            "telephone_number": "312-953-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "883 Commonwealth Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303123663",
            "country_code": "US",
            "telephone_number": "773-679-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABIROU",
        "first_name": "LATIFAT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010777",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "883 Commonwealth Ave SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303123663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramon Cabatu Cabe, M.D.
• Gervacio Yoma Cabel IV
• Autumn Lara Cabell, PH.D.
• Stephen Caberte, PHYSICAL THERAPIST
• Ralph V Cabin, M.D.
• Marie Cabiya
• Claire Cable
• Tracey Cable, FNP
• Darko Cabo
• Lilia Stephanie Cabral-Sanchez, LPC

• 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 Jun 22, 2022; 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.