Provider Demographics
NPI:1649804188
Name:SINGLEPOINT PSYCHOTHERAPY
Entity type:Organization
Organization Name:SINGLEPOINT PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:Z
Authorized Official - Last Name:WEISMANTEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-890-2699
Mailing Address - Street 1:840 MICHIGAN AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2589
Mailing Address - Country:US
Mailing Address - Phone:847-890-2699
Mailing Address - Fax:
Practice Address - Street 1:1234 SHERMAN AVE STE 109
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1375
Practice Address - Country:US
Practice Address - Phone:312-799-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty