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CK PSYCH PLLC NPI 1366022519


NPI Information

NPI: 1366022519
Provider Name: CK PSYCH PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
10725 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (630) 251-4346
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CK PSYCH PLLC is a counselor in Chicago, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CK PSYCH PLLC NPI is 1366022519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10725 S WESTERN AVE
CHICAGO, IL
ZIP 60643-217
Phone: (630) 251-4346

The provider's authorized official is Claude L King .
The authorized official title is Owner/psychotherapist and has the following contact phone number (630) 251-4346.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 7/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YP2500XCounselorProfessionalNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.