Free Bird Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009469 Issued in IL

Legal business name

FREE BIRD PSYCHOLOGICAL SERVICES

Practice address

8170 McCormick Blvd Ste 204
Skokie, IL 60076-2914

Phone

(847) 410-2029

Fax

(847) 410-2041

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Gabrielle L Wolk, PSYD

Title

Provider

Phone

(847) 410-2029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962927624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "847-410-2029",
            "fax_number": "847-410-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "847-410-2029",
            "fax_number": "847-410-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE BIRD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "847-410-2029",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inbal Fraiman, MA, OTR/L
• Hinda Devorah Frank, OTR/L
• Constantine T Frantzides, MD, PHD, FACS
• Jose Frau
• Nora Frazin, LCSW
• Freedman RPM Medical SC
• Louis Israel Freeman, D.D.S.
• Meredith Freeman, FNP-BC
• Breena Freid, LCSW
• Yitzchok Aryeh Freid, LCSW, CASAC-T

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, 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 21, 2022; 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.