Provider Demographics
NPI:1356929673
Name:NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
Entity type:Organization
Organization Name:NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LCPC
Authorized Official - Phone:773-505-1733
Mailing Address - Street 1:4305 N LINCOLN AVE STE O
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1807
Mailing Address - Country:US
Mailing Address - Phone:773-505-1733
Mailing Address - Fax:866-567-3038
Practice Address - Street 1:4305 N LINCOLN AVE STE O
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-1807
Practice Address - Country:US
Practice Address - Phone:773-505-1733
Practice Address - Fax:866-567-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty