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CRT MEDICAL PC NPI 1881018984


NPI Information

NPI: 1881018984
Provider Name: CRT MEDICAL PC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
70 E LAKE ST
FLOOR 13
CHICAGO, IL
ZIP 60601
Phone: (312) 726-4011
Get Directions

CRT MEDICAL PC 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. CRT MEDICAL PC NPI is 1881018984. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

70 E LAKE ST
FLOOR 13
CHICAGO, IL
ZIP 60601-959
Phone: (312) 726-4011
Fax: (312) 726-4021

The provider's authorized official is Gwendolyn Messer .
The authorized official title is Medical Director and has the following contact phone number (312) 726-4011.

The enumeration date for this NPI number is 2/10/2014 and was last updated on 11/18/2014.


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
1101Y00000XCounselorNo
2101YP2500XCounselorProfessionalNo
3103T00000XPsychologistNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC0700XPsychologistClinicalNo
6103TC1900XPsychologistCounselingNo
7103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
8106H00000XMarriage & Family TherapistNo
9103TC2200XPsychologistClinical 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

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