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INTEGRATIVE PSYCHOLOGICAL SERVICES OF CHICAGO INC. NPI 1457773418


NPI Information

NPI: 1457773418
Provider Name: INTEGRATIVE PSYCHOLOGICAL SERVICES OF CHICAGO, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2153 W BELMONT AVE
UNIT 1
CHICAGO, IL
ZIP 60618
Phone: (773) 573-9117
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INTEGRATIVE PSYCHOLOGICAL SERVICES OF CHICAGO, INC. is a clinical psychologist in Chicago, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. INTEGRATIVE PSYCHOLOGICAL SERVICES OF CHICAGO, INC. NPI is 1457773418. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2153 W BELMONT AVE
UNIT 1
CHICAGO, IL
ZIP 60618-879
Phone: (773) 573-9117

The provider's authorized official is David Kohler .
The authorized official title is Clinical Director and has the following contact phone number (773) 573-9117.

The enumeration date for this NPI number is 1/10/2014 and was last updated on 6/15/2017.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)071008692ILLINOISNo
2103TA0700XPsychologistAdult Development & Aging071008692ILLINOISNo
3103TB0200XPsychologistCognitive & Behavioral071008692ILLINOISNo
4103TC2200XPsychologistClinical Child & Adolescent071008692ILLINOISNo
5103TF0000XPsychologistFamily071008692ILLINOISNo
6106H00000XMarriage & Family TherapistILLINOISNo
7103TC0700XPsychologistClinical071008692ILLINOISYes

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: 4/28/2024

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