Organization Active NPI

Gail Reich Psychotherapy Inc.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1982127668
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
180.010240 Issued in IL
Legal business name
GAIL REICH PSYCHOTHERAPY INC.
Practice address
4305 N Lincoln Ave Ste I
Chicago, IL 60618-1807
Phone
(773) 451-5874
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Gail Reich, LCPCNPI 1962740753
Title
Owner
Phone
(773) 451-5874

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 180.010240 IL Primary

Addresses

Primary practice location

4305 N Lincoln Ave Ste I
Chicago, IL 60618-1807

Mailing address

833 W Buena Ave Apt 806
Chicago, IL 60613-6606
Phone (201) 919-2469

Other identifiers 1

IdentifierTypeStateIssuer
1962740753OtherILBCBS

National Provider Directory

National Provider Directory

Locations

4305 N Lincoln Ave
Ste I
Chicago, IL 60618
Phone (312) 953-8342

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1982127668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W BUENA AVE APT 806",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136606",
            "telephone_number": "201-919-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "773-451-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL REICH PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-451-5874",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "180.010240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1962740753",
            "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 Jul 25, 2017; 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.