Garrett Walter Sidor, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010798 Issued in IL

Practice address

33 N. Dearborn Suite 800
Chicago, IL 60602

Phone

(224) 223-2802

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emotion Center for Wellness

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1447099890
  NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962230391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 E PEACHTREE LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043433",
            "telephone_number": "847-224-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N. DEARBORN SUITE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "224-223-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOR",
        "first_name": "GARRETT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Marie Sidlow
• Sidney Charity Foundation (A New Day Community Wellness Center)
• Sidney Feldman, S.C.
• Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union (Sidney Hillman Health Centre)
• Brandi Erin Sidor, MA, CCC-SLP
• Julia Ana Sidor, DO
• Rebecca Sidor, PT
• Mary Katherine Scott Siebenaler, MD, FAAP
• Mary Jane Sieber, OTR/L
• Aisha Lynn Siebert, MD, PHD, MPH

• 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 Jul 25, 2024; 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.