INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER (NPI# 1063789220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063789220 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER |
| Practice Address |
3100 N Sheridan Rd Apt. 9e Chicago IL 60657-4954 |
| Practice Telephone | 8775715579 |
| Mailing Telephone | 8775715579 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | DR. JOHN CHRISTIAN HARDIE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3128105646 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
071007352 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI - JOHN C. HARDIE INDIVIDUAL PROVIDER | 1376732255 | 01 |
| Street Address |
3100 N SHERIDAN RD APT. 9E |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-4954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376732255 | John Christian Hardie | Psychologist | 3100 N Sheridan Rd, Apt. 9e, Chicago, IL 60657-4954 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886302 | Unicka Mare Green | Psychologist | 5651 S Perry Ave, Chicago, IL 60621-4019 | 2020-06-17 |
| 1467076398 | Ayesha Sconyers | Psychologist | 9204 S Ellis Ave, Chicago, IL 60619-7825 | 2020-06-06 |
| 1861032088 | Zora Angel Mahomes | Psychologist | 4056 W Jackson Blvd, Chicago, IL 60624-2756 | 2020-01-15 |
| 1639321169 | Eugenie Bournique Pabst | Psychologist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1932734548 | Keys To Care Psychological Services, LLC | Psychologist | 325 N Wells St, Chicago, IL 60654-7024 | 2020-03-04 |
| 1649792078 | Mcclymonds Psychological Services | Psychologist | 55 E Monroe St Ste 3800, Chicago, IL 60603-6030 | 2017-07-07 |
| 1770982845 | Mercy Blesson | Psychologist | 5946 N Milwaukee Ave, Chicago, IL 60646-5424 | 2014-08-14 |
| 1952553414 | Eugenie B. Pabst, LLC | Psychologist | 1901 N Clybourn Ave, 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1205008406 | Christine Gagnon | Psychologist | 1030 N Clark St, Chicago, IL 60610-5467 | 2008-03-27 |
| 1396916821 | Patricia Cole | Psychologist | 1030 N Clark St, Suite 320, Chicago, IL 60610-5467 | 2008-03-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.