PRIVATE PRACTICE (NPI# 1811374309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811374309 |
| Entity Type | Organization |
| Organization Name | PRIVATE PRACTICE |
| Practice Address |
30 N Michigan Ave Suite 1002 Chicago IL 60602-3402 |
| Mailing Address |
1524 W Winnemac Ave Apt. 7 Chicago IL 60640-2850 |
| Practice Telephone | 7862696864 |
| Mailing Telephone | 7862696864 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | ELIZABETH JANE REINECKE (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7862696864 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
149015655 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093122954 | Private Practice | In Home Supportive Care | 202 Fishpot Rd, Fredericktown, PA 15333-2203 | 2014-07-11 |
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1881101483 | Private Practice | Pediatrics | 18522 Canoe Brk, San Antonio, TX 78258-1641 | 2018-01-04 |
| 1831504703 | Private Practice | Social Worker | 125 Central St, Concord, MA 01742-2910 | 2014-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Private Practice Builders LLC | 2231 Aryness Drive, Vienna, Virginia 22181 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE CLIENTS | 15870 Sw Baler Way, Sherwood, OR 97140 |
| System for Award Management (SAM) Entities | PRIVATE PRACTICE OF PSYCHOLOGY, THE | 1950 Farnworth Ln #302, Northbrook, IL 60062-3770 |
| Colorado Business Entities | Private Practice of Stephen H Chou, Psy.D. | 1120 W South Boulder Rd., Suite 101e, Lafayette, CO 80026 |
| Ohio Business Entities | PRIVATE PRACTICE PARTNER, LLC | P.o. Box 827, Worthington, OH 43085-0827 |
| New York State Corporations | PRIVATE PRACTICE PROMOTION L.L.C. | 1434 Western Ave Ste 1, Albany, Ny 12203 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE PUSH | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE REALTY, LLC | 4300 Sw Fairview Circus, Portland, OR 97221 |
| New York State Corporations | PRIVATE PRACTICE STUDIO LLC | 2 Prince St., Unit #3008, Brooklyn, Ny 11201 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE TRANSITIONS, INC. | 2615 Jahn Ave Nw Ste E5, Gig Harbor, WA 98335 |
| Street Address |
30 N MICHIGAN AVE SUITE 1002 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070743 | Kenneth A Krebs | Dentist | 30 N Michigan Ave, Ste 822, Chicago, IL 60602-3805 | 2005-06-01 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| 1447876099 | Shawnte F Bennett | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-06-19 |
| 1871112417 | Vulnus & Cura Psychotherapy LLC | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-04-14 |
| 1962034579 | Joey Rea | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-02-11 |
| 1649824558 | Rachel Casey | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2019-07-29 |
| 1316437809 | Aimee Dokko Osborne | Counselor | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2018-05-10 |
| 1396257366 | Elizabeth Ashley Aram | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-10-31 |
| 1396279287 | Marlene Cervantes | Social Worker | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-04-18 |
| 1528508744 | Darlene Perry | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| 1437776879 | Vesna Healing, LLC | Clinic/Center | 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 | 2020-07-01 |
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1437771979 | Healthy Mind and Body LLC | Clinic/Center | 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 | 2020-05-07 |
| 1346877412 | Mind Body Center | Clinic/Center | 2551 N Clark St Ste 301, Chicago, IL 60614-7732 | 2020-03-26 |
| 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.