MIDSOMMER PSYCHOTHERAPY LLC NPI 1043958895

NPI Information

NPI: 1043958895
Provider Name: MIDSOMMER PSYCHOTHERAPY LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1530 S STATE ST APT 1014
CHICAGO, IL
ZIP 60605
Phone: (330) 962-4943
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MIDSOMMER PSYCHOTHERAPY LLC is a mental health (including community mental health center) clinic center in Chicago, IL. MIDSOMMER PSYCHOTHERAPY LLC NPI is 1043958895. The provider is registered as an organization entity type.

The provider's business location address is:

1530 S STATE ST APT 1014
CHICAGO, IL
ZIP 60605-987
Phone: (330) 962-4943

The provider's authorized official is Spencer Potesta .
The authorized official title is Co-founder, Psychotherapist and has the following contact phone number (330) 962-4943.

The enumeration date for this NPI number is 5/23/2022 and was last updated on 5/23/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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

NPI Synchronization or Removal

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