Center for Stress & Coping PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CENTER FOR STRESS & COPING PC

Practice address

1000 Jorie Blvd
Suite 48
Oak Brook, IL 60523-4498

Phone

(630) 990-0505

Fax

(630) 990-0506

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael B Evans, PHD

Title

Clinical Psychologist President Own

Phone

(630) 990-0505

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952474082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD",
            "address_2": "SUITE 48",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234498",
            "telephone_number": "630-990-0505",
            "fax_number": "630-990-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD",
            "address_2": "SUITE 48",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234498",
            "telephone_number": "630-990-0505",
            "fax_number": "630-990-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR STRESS & COPING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST PRESIDENT OWN",
        "authorized_official_telephone_number": "630-990-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1533",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.