PSYCHOTHERAPY AND ASSESSMENT OF HYDE PARK (NPI# 1699171207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699171207 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPY AND ASSESSMENT OF HYDE PARK |
| Practice Address |
1525 E 55th St Suite 301b Chicago IL 60615-5512 |
| Practice Telephone | 7737718759 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | DR. THERESA GREGOIRE (MANAGING MEMBER) |
| Authorized Official Telephone | 7737718759 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149.015492 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007702 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1525 E 55TH ST SUITE 301B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841371184 | Collette Ara Honore Mdsc | Dermatology | 1525 E 55th St, Chicago, IL 60615-5512 | 2006-10-17 |
| 1003374521 | Lauren Rebecca Koby | Psychologist | 1525 E 55th St, Chicago, IL 60615-5512 | 2019-03-04 |
| 1164920146 | Aisha Mukes | Prosthetic/Orthotic Supplier | 1525 E 55th St, Chicago, IL 60615-5512 | 2018-01-25 |
| 1518476688 | India R Willis | Nurse Practitioner | 1525 E 55th St, Chicago, IL 60615-5512 | 2017-09-21 |
| 1710437991 | Howard Brown Health Center | Clinic/Center | 1525 E 55th St, Chicago, IL 60615-5512 | 2016-10-11 |
| 1407305170 | Julia Somerville | Social Worker | 1525 E 55th St, Suite 301b, Chicago, IL 60615-5512 | 2016-09-23 |
| 1922361450 | Southside Family Medicine PC | Family Medicine | 1525 E 55th St, Suite 307, Chicago, IL 60615-5512 | 2012-06-19 |
| 1588984116 | Attune Inc | Clinic/Center | 1525 E 55th St, Suite 304, Chicago, IL 60615-5512 | 2010-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| 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.