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OCD TREATMENT CENTER LLC NPI 1679711642


NPI Information

NPI: 1679711642
Provider Name: OCD TREATMENT CENTER, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1130 W CORNELIA AVE APT D
CHICAGO, IL
ZIP 60657
Phone: (773) 220-1995
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OCD TREATMENT CENTER, LLC 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. OCD TREATMENT CENTER, LLC NPI is 1679711642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 W CORNELIA AVE APT D
CHICAGO, IL
ZIP 60657-549
Phone: (773) 220-1995

The provider's authorized official is Kevin L Gyoerkoe .
The authorized official title is Member and has the following contact phone number (773) 220-1995.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 1/29/2009.


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
1103TC0700XPsychologistClinical071.006130ILLINOISYes

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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