NPIMap

Organization Active NPI

Humanistic Psychologists of Chicago, Inc.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1972188241
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HUMANISTIC PSYCHOLOGISTS OF CHICAGO, INC.
Practice address
1945 W Wilson Ave Ste 6113
Chicago, IL 60640-5259
Phone
(773) 512-4656
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Rebecca June-Schapeler Bergen, PHDNPI 1619157369
Title
President/Clinical Psychologist
Phone
(773) 512-4656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1945 W Wilson Ave Ste 6113
Chicago, IL 60640-5259

Mailing address

1945 W Wilson Ave Ste 6113
Chicago, IL 60640-5259
Phone (773) 512-4656

Other identifiers 1

IdentifierTypeStateIssuer
071007367OtherILLICENSED CLINICAL PSYCHOLOGIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1972188241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 6113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405259",
            "telephone_number": "773-512-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 6113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405259",
            "telephone_number": "773-512-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANISTIC PSYCHOLOGISTS OF CHICAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BERGEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JUNE-SCHAPELER",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-512-4656",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PSYCHOLOGIST",
            "identifier": "071007367",
            "state": "IL"
        }
    ],
    "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 Mar 17, 2021; 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.