PSYCHOLOGICAL SERVICES CENTER INC. (NPI# 1568088771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568088771 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SERVICES CENTER INC. |
| Practice Address |
3110 N Sheffield Ave Chicago IL 60657-6700 |
| Mailing Address |
6625 N Kostner Ave Lincolnwood IL 60712-3524 |
| Practice Telephone | 3125502705 |
| Mailing Telephone | 3125502705 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | DR. KATHLEEN P CUMMINGS (PSYCHOLOGIST) |
| Authorized Official Telephone | 3125502705 |
| Authorized Official Credential | M.ED. ED.S. ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | C55251561631 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6625 N Kostner Ave, Lincolnwood, IL 607123524 | 3125502705 |
| Street Address |
3110 N SHEFFIELD AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6700 |
| 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 | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871087916 | Hedy Keiderling | Psychologist | 1515 N Astor St Apt 4c, Chicago, IL 60610-1655 | 2018-06-21 |
| 1174010409 | Devyn Mares | Psychologist | 2819 N Rockwell St Bsmt, Chicago, IL 60618-7803 | 2018-04-23 |
| 1821593864 | Mary Amy Esposito-usterbowski | Psychologist | 9907 S Hamilton Ave, Chicago, IL 60643-1813 | 2018-03-29 |
| 1518471069 | Lynsey Wong | Psychologist | 4410 N Sacramento Ave Apt 3e, Chicago, IL 60625-3860 | 2017-11-20 |
| 1578077293 | Erin Taylor | Psychologist | 9530 S Hoyne Ave, Chicago, IL 60643-1122 | 2017-11-17 |
| 1811401433 | Andrew P Szpur | Psychologist | 11242 S Longwood Dr, Chicago, IL 60643-4126 | 2017-11-17 |
| 1487167318 | Niekema Hudson | Psychologist | 2651 W Washington Blvd Fl 3, Chicago, IL 60612-2055 | 2017-11-14 |
| 1194236471 | Anthony M Adamowski | Psychologist | 2651 W Washington Blvd, Chicago, IL 60612-2055 | 2017-10-13 |
| 1992224802 | Leilani Castaneda | Psychologist | 2117 N Kedzie Blvd Apt 2r, Chicago, IL 60647-2728 | 2017-09-12 |
| 1538619119 | Nicole Billings | Psychologist | 7211 S Rockwell St, Chicago, IL 60629-2029 | 2016-10-07 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on PSYCHOLOGICAL SERVICES CENTER INC..
| 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.