Polyphony Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POLYPHONY PSYCHOTHERAPY

Practice address

1830 Sherman Ave Ste 205
Evanston, IL 60201-3771

Phone

(425) 359-3749

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

India Smith, LCSWNPI 1518730340

Title

Manager/Owner

Phone

(425) 359-3749

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• India Smith, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1518730340
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1962234989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013771",
            "telephone_number": "425-359-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013771",
            "telephone_number": "425-359-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYPHONY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "425-359-3749",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieanne Rodriguez Pojas, PSYD
• Kenan Pojskic
• Rajeev Sai Polasani, MD
• Polina Reyngold, LTD
• Yelena Polyakov, CRNA
• David Pompei, PHARMD
• Zbigniew Pomykala, MD
• Carlos Alberto Ponce Jr.
• Jessica Marie Poncer, LCSW
• Mary Grace Briggs Ponte, LPN

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.