NEST PSYCHOTHERAPY LLC (NPI# 1790318301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790318301 |
| Entity Type | Organization |
| Organization Name | NEST PSYCHOTHERAPY LLC |
| Practice Address |
3166 N Lincoln Ave Ste 306 Chicago IL 60657-3119 |
| Practice Telephone | 8473489849 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JOANNA VILLACORTA GRIFFIN (OWNER) |
| Authorized Official Telephone | 8473489849 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1114456134 | 05 |
| Street Address |
3166 N LINCOLN AVE STE 306 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598184889 | Andrea Fullerton | Social Worker | 3166 N Lincoln Ave Ste 306, Chicago, IL 60657-3119 | 2014-04-15 |
| 1730668716 | Andrea Fullerton Lcsw LLC | Social Worker | 3166 N Lincoln Ave Ste 306, Chicago, IL 60657-3119 | 2018-08-09 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296162 | Kmetko & Associates, Ltd. | Clinic/Center | 4043 N Ravenswood Ave Ste 121, Chicago, IL 60613-1176 | 2020-05-07 |
| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
| 1962034488 | Global Executive Council Services | Clinic/Center | 5766 N Lincoln Ave Ste 4s, Chicago, IL 60659-4734 | 2020-02-12 |
| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1689223992 | Hannah Newman, Lcsw LLC | Clinic/Center | 3111 W Armitage Ave Fl 2, Chicago, IL 60647-3818 | 2019-09-09 |
| 1710468533 | Rehs Counseling | Clinic/Center | 1286 N Milwaukee Ave Ste 7, Chicago, IL 60622-9319 | 2018-08-29 |
| 1568959187 | Laura Anderson, LLC | Clinic/Center | 2000 N Racine Ave Ste 2130, Chicago, IL 60614-4045 | 2018-04-19 |
| 1013414150 | Gro Community | Clinic/Center | 11004 S Michigan Ave, Chicago, IL 60628-4309 | 2018-04-06 |
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1154647089 | Kids Above All | Clinic/Center | 2808 W Chicago Ave, Chicago, IL 60622-7833 | 2010-04-16 |
| 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.