Life Directions Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.004781 Issued in IL

Legal business name

LIFE DIRECTIONS PSYCHOLOGICAL SERVICES INC

Practice address

1555 Naperville Wheaton Rd
108
Naperville, IL 60563-1557

Phone

(630) 803-0122

Fax

(866) 441-1136

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Gerald McCallum

Title

Owner

Phone

(630) 803-0122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1992075014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-803-0122",
            "fax_number": "866-441-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-803-0122",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DIRECTIONS PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-803-0122"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis S Lichon, MD
• Julia Marie Liebich, D.C.
• Robert Liebman, M.D.
• Christina Marie Lies
• Life Care Home Health Services LLC
• Life Endeavors Therapy PLLC
• Life Senior Care LLC
• Life Skills Occupational Therapy LLC
• Life Worth Living, P.C.
• Lifeskills Counseling Services, LLC

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.