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CLINICAL ASSIST LTD. NPI 1518246255


NPI Information

NPI: 1518246255
Provider Name: CLINICAL ASSIST, LTD.

Doing Business As: BLACK BEAR ACADEMY

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1801 W BYRON ST
CHICAGO, IL
ZIP 60613
Phone: (773) 244-0700
Get Directions

CLINICAL ASSIST, LTD. is a clinical child and adolescent psychologist in Chicago, IL. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CLINICAL ASSIST, LTD. NPI is 1518246255. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Black Bear Academy.

The provider's business location address is:

1801 W BYRON ST
CHICAGO, IL
ZIP 60613-729
Phone: (773) 244-0700
Fax: (773) 244-0200

The provider's authorized official is Lori G Tall .
The authorized official title is Executive Director and has the following contact phone number (312) 285-2323.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 1/11/2021.


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
1103G00000XClinical NeuropsychologistNo
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistNo
4252Y00000XEarly Intervention Provider Agency060006146ILLINOISNo
5103TC2200XPsychologistClinical Child & AdolescentYes

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

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.