Provider Demographics
NPI:1265877526
Name:CHICAGO CENTER FOR CONTEMPORARY PSYCHOTHERAPY
Entity type:Organization
Organization Name:CHICAGO CENTER FOR CONTEMPORARY PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:312-339-5266
Mailing Address - Street 1:122 S MICHIGAN AVE STE 1450
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-6176
Mailing Address - Country:US
Mailing Address - Phone:773-980-9642
Mailing Address - Fax:
Practice Address - Street 1:122 S MICHIGAN AVE STE 1450
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6176
Practice Address - Country:US
Practice Address - Phone:773-980-9642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490081291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty