Provider Demographics
NPI:1326723453
Name:PSYCHOTHERAPY CENTER INC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:CHATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-590-2356
Mailing Address - Street 1:2724 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-3934
Mailing Address - Country:US
Mailing Address - Phone:773-590-2356
Mailing Address - Fax:
Practice Address - Street 1:9730 S WESTERN AVE STE 838
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2814
Practice Address - Country:US
Practice Address - Phone:773-590-2356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PSYCHOTHERAPY CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-16
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty