THE CHICAGO INTEGRATIVE CENTER FOR PSYCHIATRY LLC (NPI# 1831511690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831511690 |
| Entity Type | Organization |
| Organization Name | THE CHICAGO INTEGRATIVE CENTER FOR PSYCHIATRY LLC |
| Practice Address |
900 North Shore Dr Suite 120 Lake Bluff IL 60044-2243 |
| Practice Telephone | 8476151698 |
| Practice Fax Number | 8476151697 |
| Mailing Telephone | 8476151698 |
| Mailing Fax Number | 8476151697 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | MS. ERIN BRIGHT (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 8477701241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
36117225 | IL | Behavioral Health & Social Service Providers |
| Street Address |
900 NORTH SHORE DR SUITE 120 |
| City | LAKE BLUFF |
| State | IL |
| Zip Code | 60044-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895657 | Cornelius D Mahoney | Psychologist | 900 North Shore Dr, Ste 200, Lake Bluff, IL 60044-2243 | 2006-01-12 |
| 1538539432 | Deborahanne Reimer | Counselor | 900 North Shore Dr, Lake Bluff, IL 60044-2243 | 2015-10-05 |
| 1497132948 | Robert Iliff | Chiropractor | 900 North Shore Dr, Suite 170, Lake Bluff, IL 60044-2243 | 2015-05-05 |
| 1699174268 | Sheila Dunn | Counselor | 900 North Shore Dr, Lake Bluff, IL 60044-2243 | 2014-08-19 |
| 1306250006 | John Birdsall | Nutritionist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-06-20 |
| 1851714091 | Lauren Howard | Counselor | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-23 |
| 1275964074 | Chicago Day School | Counselor | 900 North Shore Dr, Suite 140, Lake Bluff, IL 60044-2243 | 2013-12-03 |
| 1962740753 | Gail Reich | Counselor | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2013-01-29 |
| 1326301482 | Dr Donald Raden Md LLC | Psychiatry & Neurology | 900 North Shore Dr, Ste 120, Lake Bluff, IL 60044-2243 | 2012-06-22 |
| 1316270861 | Matthew Gallo | Counselor | 900 North Shore Dr, 120, Lake Bluff, IL 60044-2243 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494236 | Therese Ann Hejazinia | Nurse Practitioner | Westmoreland Obgyn Associate, 917 Sherwood Dr. Suite 200, Lake Bluff, IL 60044 | 2018-07-20 |
| 1558745067 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 975 Rockland Road, Lake Bluff, IL 60044 | 2015-07-14 |
| 1720416274 | Angela Marcotte | Physical Therapist | 600 Basil Rd, Lake Bluff, IL 60044 | 2013-10-21 |
| 1821339482 | Lake Bluff Family Eye Care, Inc. | Optometrist | 755 Rockland Road, Suite 201, Lake Bluff, IL 60044 | 2013-03-07 |
| 1700126067 | Nicole Teresa Genbauer | Counselor | 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 | 2013-02-25 |
| 1336426337 | Howard Wayne Siegel | Pharmacist | 12700 W Rockland, Lake Bluff, IL 60044 | 2011-11-04 |
| 1811121494 | Wendy Lou Mccarty | Marriage & Family Therapist | 655 Rockland Road, 207, Lake Bluff, IL 60044 | 2009-05-11 |
| 1346485927 | Cheryl Jackson Od PC | Optometrist | 10 E. Scranton Ave, Suite 203, Lake Bluff, IL 60044 | 2008-12-10 |
| 1184847279 | Allied Counseling Services PC | Psychologist | 49 Sherwood Terrace, Ste T, Lake Bluff, IL 60044 | 2007-04-10 |
| 1306911854 | Kari Christopherson Falls | Social Worker | 21 N Skokie Blvd, Associates In Therapy Assessment LLC Suite 203, Lake Bluff, IL 60044 | 2006-11-21 |
| Find all providers in zip 60044 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237434 | Wylie & Associates Behavioral Health LLC | Psychologist | 118 S Seminary St, Collinsville, IL 62234-2634 | 2016-11-14 |
| 1104341999 | Clarity Clinic Arlington Heights, LLC | Psychologist | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, IL 60005-4142 | 2017-08-14 |
| 1215330022 | Accessmydoc Inc | Psychologist | 1900 E Golf Rd, Suite 950, Schaumburg, IL 60173-5834 | 2014-10-07 |
| 1083841076 | Aeries Healthcare of Illinois Physician Group | Psychologist | 8311 W Roosevelt Rd, Forest Park, IL 60130 | 2009-06-17 |
| 1548408586 | Meryl Lipton | Psychologist | 4711 Golf Rd, Suite 1100, Skokie, IL 60076-1224 | 2009-01-29 |
| 1558539387 | Nehal Psychiatric Group, Inc | Psychologist | 7425 Janes Ave, Suite 200, Woodridge, IL 60517-2356 | 2008-02-14 |
| 1679772479 | Miroslaw Walo, Md Sc | Psychologist | 4905 Old Orchard Ctr, Ste 428, Skokie, IL 60077-1458 | 2007-07-12 |
| 1174739122 | Gretchen L. Cromer, Md PC | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2007-05-15 |
| 1447472493 | Richard P Weber Psy.d. | Psychologist | 1105 W Park Ave, Suite 2, Libertyville, IL 60048-2567 | 2007-05-02 |
| 1992923304 | Rush North Shore Pain Center | Psychologist | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BLUFF |
| Zip Code | 60044 |
Please comment or provide details below to improve the information on THE CHICAGO INTEGRATIVE CENTER FOR PSYCHIATRY LLC.
| 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.