PRIMARY CARE PSYCHOLOGY ASSOCIATES (NPI# 1750824496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750824496 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PSYCHOLOGY ASSOCIATES |
| Practice Address |
1333 W Belmont Ave 2nd Floor Chicago IL 60657-5785 |
| Mailing Address |
400 Skokie Blvd Suite 245 Northbrook IL 60062-2816 |
| Practice Telephone | 8476860090 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | ADAM KREDOW (BUSINESS MANAGER) |
| Authorized Official Telephone | 8476860090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
1333 W BELMONT AVE 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932332731 | Jessica M Kennedy | Internal Medicine | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657 | 2009-08-26 |
| 1013518778 | Diana Nazareth Aguirre | Pharmacist | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2020-11-07 |
| 1558804328 | Erika Laine Yamin | Student in an Organized Health Care Education/Training Program | 1333 W Belmont Ave, 2nd Floor, Chicago, IL 60657-5785 | 2016-11-28 |
| 1942678446 | Natalie Ann Youngner | Nurse Practitioner | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2015-09-14 |
| 1356725113 | Natalie Eversden | Nurse Practitioner | 1333 W Belmont Ave, #100, Chicago, IL 60657-5785 | 2015-07-11 |
| 1497004907 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2012-08-30 |
| 1124381769 | Paul Anthony Ravenna | Family Medicine | 1333 W Belmont Ave, Northwestern Medicine, Chicago, IL 60657-5785 | 2012-06-19 |
| 1275893976 | Rosanne D Vasiloff | Family Medicine | 1333 W Belmont Ave, Suite 100 & 200, Chicago, IL 60657-5785 | 2012-05-29 |
| 1396001269 | Stevie Nicole Carraro | Internal Medicine | 1333 W Belmont Ave, Chicago, IL 60657 | 2012-04-05 |
| 1164743787 | Mark Romanelli | Dermatology | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 | 2010-06-17 |
| Find all providers in the same location | ||||
| 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 | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603220 | Horizon Science Academy-belmont | Local Education Agency (LEA) | 2456 N Mango Ave, Chicago, IL 60639-2313 | 2020-03-04 |
| 1740815331 | Horizon Science Academy-mckinley Park | Local Education Agency (LEA) | 2245 W Pershing Rd, Chicago, IL 60609-2211 | 2020-03-04 |
| 1710538004 | Bronzeville Acadmey Charter School | Local Education Agency (LEA) | 4930 S Cottage Grove Ave, Chicago, IL 60615-2616 | 2019-09-27 |
| 1689223653 | Intrinsic Schools | Local Education Agency (LEA) | 79 W Monroe St Ste 400, Chicago, IL 60603-4903 | 2019-09-11 |
| 1992352645 | Amandla Charter School | Local Education Agency (LEA) | 6820 S Washtenaw Ave, Chicago, IL 60629-1826 | 2019-08-19 |
| 1497205744 | Betty Shabazz Interantional Charter School | Local Education Agency (LEA) | 7823 S Ellis Ave, Chicago, IL 60619-3213 | 2016-10-11 |
| 1386070589 | Ace Tech Charter Hs | Local Education Agency (LEA) | 5410 S State St, Chicago, IL 60609-6342 | 2013-09-19 |
| 1295077337 | Central Stickney Sd #110 | Local Education Agency (LEA) | 5001 Lane Ave., Chicago, IL 60638-1733 | 2013-03-26 |
| 1295061372 | Central Stickney School District #110 | Local Education Agency (LEA) | 5001 S Long Ave, Chicago, IL 60638-1733 | 2009-10-26 |
| 1083860845 | Alivio Medical Center, Inc. | Local Education Agency (LEA) | Alivio Medical Ctr, 75 Remittance Dr. Suite 6577, Chicago, IL 60675-6577 | 2008-08-13 |
| 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.