Nadia Hallak, PSYD.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.016179 Issued in IL

Practice address

535 N Michigan Ave Apt 1608
Chicago, IL 60611-3810

Phone

(312) 659-9606

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Downers Grove Counseling and Wellness PLLC

  • Clinical Social Worker
  • Downers Grove, IL
  • NPI 1295496784
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1932701653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N MICHIGAN AVE APT 1608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113810",
            "telephone_number": "312-659-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N MICHIGAN AVE APT 1608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113810",
            "telephone_number": "312-659-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAK",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadiah@eastwest.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "535 N Michigan Ave Apt 1608",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606113810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Tina Hall
• Tyler Hall
• Willie Hall, CADC
• Julia Ruth Hallack, APRN, CNP
• Olivia Marie Hallagan, MS, CCC-SLP
• Patrick Elie Hallak, M.D
• Erin L Hallar, APN-CRNA
• Matthew Hallas, DMD
• Elizabeth Marie Hallau, PA-C
• Davis Hallberg, DPT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.