Provider Demographics
NPI:1801444898
Name:ADAM HELLEBRAND, PSYD PLLC
Entity type:Organization
Organization Name:ADAM HELLEBRAND, PSYD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLEBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:312-467-0000
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:312-467-0000
Mailing Address - Fax:
Practice Address - Street 1:405 N WABASH AVE UNIT 3209
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5675
Practice Address - Country:US
Practice Address - Phone:312-467-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVER NORTH COUNSELING GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty