Provider Demographics
NPI:1336468909
Name:THE CHICAGO SCHOOL OF PROFESSIONAL PSYCHOLOGY
Entity Type:Organization
Organization Name:THE CHICAGO SCHOOL OF PROFESSIONAL PSYCHOLOGY
Other - Org Name:TCS FORENSIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CAMPUS DEAN
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTYN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MBA
Authorized Official - Phone:312-467-2331
Mailing Address - Street 1:325 N WELLS ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-7024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:222 MERCHANDISE MART
Practice Address - Street 2:SUITE 442
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-1103
Practice Address - Country:US
Practice Address - Phone:312-467-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TCS EDUCATION SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-21
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center