CHICAGO PSYCHOTHERAPY PLLC NPI 1215330048

NPI Information

NPI: 1215330048
Provider Name: CHICAGO PSYCHOTHERAPY, PLLC

Former Legal Business Name: CHICAGO PSYCHOTHERAPY LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1925 N CLYBOURN AVE STE 300
CHICAGO, IL
ZIP 60614
Phone: (773) 697-8839
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CHICAGO PSYCHOTHERAPY, PLLC is a mental health (including community mental health center) clinic center in Chicago, IL. CHICAGO PSYCHOTHERAPY, PLLC NPI is 1215330048. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Chicago Psychotherapy Llc.

The provider's business location address is:

1925 N CLYBOURN AVE STE 300
CHICAGO, IL
ZIP 60614-395
Phone: (773) 697-8839

The provider's authorized official is Caroline Bliss Adelman .
The authorized official title is Clinical Psychologist and has the following contact phone number (919) 265-7070.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 7/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	071.008925	ILLINOIS	No
2	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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