Organization Active NPI

Hyssop Modification Services Inc

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
National Provider Identifier
1942358338
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
HYSSOP MODIFICATION SERVICES INC
Practice address
5835 W Division St
Chicago, IL 60651-1008
Phone
(773) 626-3613
Fax
(773) 261-5640
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Julia Griffin
Title
Medical Biller
Phone
(773) 261-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X IL Primary

Addresses

Primary practice location

5835 W Division St
Chicago, IL 60651-1008

Mailing address

5835 W Division St
Chicago, IL 60651-1008
Phone (773) 626-3613

National Provider Directory

National Provider Directory

Locations

345 S Cicero Ave
Chicago, IL 60644
Phone (773) 261-5306

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942358338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511008",
            "telephone_number": "773-626-3613",
            "fax_number": "773-261-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511008",
            "telephone_number": "773-626-3613",
            "fax_number": "773-261-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYSSOP MODIFICATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "773-261-5306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "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 Apr 20, 2008; 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.