| Bridgepoint Psychology Center Inc. | |
|
1300 W Belmont Ave Ste 12 Chicago IL 60657-3200 | |
| (773) 349-2466 | |
| Not Available |
| Full Name | Bridgepoint Psychology Center Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1300 W Belmont Ave Ste 12, Chicago, Illinois |
| Authorized Official Name and Position | Brittany Elise Trauthwein (CLINICAL PSYCHOLOGIST/FOUNDER) |
| Authorized Official Contact | 9414475870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgepoint Psychology Center Inc. 4801 N Ravenswood Ave Apt 107 Chicago IL 60640-4478 Ph: () - | Bridgepoint Psychology Center Inc. 1300 W Belmont Ave Ste 12 Chicago IL 60657-3200 Ph: (773) 349-2466 |
| NPI Number | 1265919039 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Medicare PECOS PAC ID | 6406278845 |
|---|---|
| Medicare Enrollment ID | O20200612000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265919039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.009518 (Illinois) | Primary |
| Provider Name | Lawrence P Maucieri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457427239 PECOS PAC ID: 8820013931 Enrollment ID: I20051007000604 |
| Provider Name | Mary Colleen Ross-newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679043764 PECOS PAC ID: 3274878095 Enrollment ID: I20181226002238 |
| Provider Name | Janna Henning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336318872 PECOS PAC ID: 6608207345 Enrollment ID: I20200512002798 |
| Provider Name | Brittany Trauthwein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790226124 PECOS PAC ID: 2769804145 Enrollment ID: I20200613000048 |
| Provider Name | Helen K Alex |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578199683 PECOS PAC ID: 1951788355 Enrollment ID: I20220524000363 |
| Provider Name | Courtney Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922557404 PECOS PAC ID: 1052778164 Enrollment ID: I20230606000547 |
| Provider Name | Elaine L Carey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427784511 PECOS PAC ID: 6002266038 Enrollment ID: I20240103000689 |
| Provider Name | Kelli Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811640329 PECOS PAC ID: 4789023987 Enrollment ID: I20240422000548 |
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