NPI 1669806873 · live from the CMS NPI Registry
Ascend, Consultation In Health Care
Psychologist, Clinical in Chicago, IL. National Provider Identifier 1669806873, active.
NPI record
| NPI | 1669806873 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 737 N Michigan Ave, Suite 1625, Chicago, IL 60611 |
| Practice phone | 312-283-2650 |
| Enumerated | August 23, 2013 |
| Last updated | August 23, 2013 |
| Authorized official | Sarah Halvorson, Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 1265773659 (IL) |
| Marriage & Family Therapist | 106H00000X | 071.004492 (IL) |
| Dietitian, Registered | 133V00000X | 164.005161 (IL) |
| Psychologist, Clinical primary | 103TC0700X | 071.004492 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.