NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
Psychologist (Clinical)

Address: 4305 N Lincoln Ave Ste O, Chicago, IL 60618-1807

NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C. (NPI# 1356929673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356929673
Entity Type Organization
Organization Name NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
Practice Address 4305 N Lincoln Ave Ste O
Chicago
IL 60618-1807
Practice Telephone 7735051733
Practice Fax Number 8665673038
Mailing Address 4305 N Lincoln Ave Ste O
Chicago
IL 60618-1807
Mailing Telephone 7735051733
Mailing Fax Number 8665673038
Certification Date 2021-03-30
Enumeration Date 2021-03-30
Last Update Date 2021-03-30
Authorized Official Telephone 7735051733
Authorized Official Credential PSYD, LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 103TC0700X Psychologist
Specialization: Clinical
193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 4305 N LINCOLN AVE STE O
City CHICAGO
State IL
Zip Code 60618-1807

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881236917 Mirelle Davis Bloch Psychologist - Clinical 4305 N Lincoln Ave Ste A, Chicago, IL 60618-1807 2019-10-10
1770135741 Paige A. Hover, LLC Psychologist - Clinical 4305 N Lincoln Ave Ste P, Chicago, IL 60618-1807 2019-07-10
1568029338 Inspire Within Therapy, LLC Clinic/Center - Adult Mental Health 4305 N Lincoln Ave Ste L, Chicago, IL 60618-1807 2019-05-28
1982127668 Gail Reich Psychotherapy Inc. Clinic/Center - Adult Mental Health 4305 N Lincoln Ave Ste I, Chicago, IL 60618-1807 2017-07-25
1316460728 Creative Roots Counseling, LLC Counselor - Professional 4305 N Lincoln Ave Ste K, Chicago, IL 60618-1807 2017-07-18
1013457951 Embrace The Center for Emotional Wellbeing LLC Psychologist 4305 N Lincoln Ave, Ste M, Chicago, IL 60618-1807 2017-02-25
1114390267 Mary K Rehard Social Worker 4305 N Lincoln Ave Ste D, Chicago, IL 60618-1807 2015-11-10
1437758406 Amy Tanner LLC Social Worker - Clinical 4305 N Lincoln Ave Ste K, Chicago, IL 60618-1807 2020-10-21
1134731458 Susan Ae Chan Counselor - Professional 4305 N Lincoln Ave, Chicago, IL 60618-1807 2020-08-18
1942832977 Inkwell Psychotherapy Counselor - Addiction (Substance Use Disorder) 4305 N Lincoln Ave Ste L, Chicago, IL 60618-1807 2020-02-07
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1215515713 Curious Kids Therapy LLC Speech-Language Pathologist 2662 West Montrose Ave, Unit 3, Chicago, IL 60618 2021-03-29
1134741622 Cvs Aoc Services, L.L.C. · Optical Center Inside Cvs Pharmacy Optometrist 4051 North Lincoln, Store 8751, Chicago, IL 60618 2020-05-07
1699317404 Joseph Thank Harmon Registered Nurse 5645 W Addison, Chicago, IL 60618 2019-10-14
1760952626 Prep Performance Center, LLC Clinic/Center - Physical Therapy 4022 N Rockwell Street, Chicago, IL 60618 2018-12-04
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
1962997064 Living Roots Psychotherapy, LLC Clinic/Center - Adult Mental Health 4310 N Spaulding Ave, Chicago, IL 60618 2018-06-30
1316436967 Oak & Ivy Counseling LLC Social Worker - Clinical 2130 W Belmont Ave, Chicago, IL 60618 2018-05-08
1164015848 Raymond Moy Registered Nurse 3639 W Montrose Ave Apt 3e, Chicago, IL 60618-1125 2021-02-14
1306450374 Abel Dejene Counselor - Mental Health 2922 N River Walk Dr, Chicago, IL 60618-1167 2020-09-07
1598361594 Santi Hompuangphoo Pharmacist 3343 W Montrose Ave, Chicago, IL 60618-1205 2020-12-07
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013598747 Rachel Vaughn Psyd LLC Psychologist - Clinical 51 E 14th St Apt 710, Chicago, IL 60605-2980 2021-04-15
1871173674 B Nettleton Psyd LLC Psychologist - Clinical 30 N Michigan Ave Ste 1204, Chicago, IL 60602-3725 2021-04-14
1619555166 Nathaniel Matthew Schapiro Psychologist - Clinical 3450 N Lake Shore Dr Apt 3204, Chicago, IL 60657-2863 2021-03-29
1639755614 True Self Psychotherapy Psychologist - Clinical 4000 W Montrose Ave # 832, Chicago, IL 60641-2140 2021-03-22
1790361806 Emily Anne Hallendy Psychologist - Clinical 1900 W Jackson Blvd Rm 2211, Chicago, IL 60612-3111 2021-03-19
1053996496 Kathryn Grant Psychologist - Clinical 2219 N Kenmore Ave, Chicago, IL 60614-3504 2021-03-17
1578158945 Vicky S Karahalios Psychologist - Clinical 5547 N Ravenswood Ave Ste 201, Chicago, IL 60640-1125 2021-03-07
1568055820 Humankind Psychological Services, LLC Psychologist - Clinical 727 W Buckingham Pl # 6, Chicago, IL 60657-2410 2021-02-18
1790376366 Cbt Center of Chicago, Pllc Psychologist - Clinical 5620 S Blackstone Ave, Chicago, IL 60637-1828 2021-01-27
1013506013 Katharine Kharas Psyd, Inc. Psychologist - Clinical 25 E Washington St Ste 908, Chicago, IL 60602-1718 2021-01-13
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City CHICAGO
Zip Code 60618

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Dataset Information

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.

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