Provider Demographics
NPI:1891149431
Name:HELLEBRAND, ADAM (PSYD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:HELLEBRAND
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 GOLF RD STE 925
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1260
Mailing Address - Country:US
Mailing Address - Phone:312-860-3943
Mailing Address - Fax:
Practice Address - Street 1:4709 GOLF RD STE 925
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076
Practice Address - Country:US
Practice Address - Phone:312-467-0000
Practice Address - Fax:312-467-0000
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
IL071010010103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)