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COLLECTED IN THE SPACE NPI 1699460691


NPI Information

NPI: 1699460691
Provider Name: COLLECTED IN THE SPACE
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661
Phone: (773) 322-2385
Get Directions

COLLECTED IN THE SPACE 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. COLLECTED IN THE SPACE NPI is 1699460691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661-034
Phone: (773) 322-2385

The provider's authorized official is Carina Bauer .
The authorized official title is Clinical Psychologist and has the following contact phone number (773) 322-2385.

The enumeration date for this NPI number is 4/6/2023 and was last updated on 5/10/2023.


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
1103TC0700XPsychologistClinicalYes

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: 5/5/2024

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.