| Cira Center For Behavioral Health Pc | |
|
155 N Michigan Ave Suite 624 Chicago IL 60601-7511 | |
| (708) 269-4180 | |
| Not Available |
| Full Name | Cira Center For Behavioral Health Pc |
|---|---|
| Speciality | Psychologist |
| Location | 155 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Colleen Duffy Cira (DIRECTOR AND FOUNDER) |
| Authorized Official Contact | 8723958091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cira Center For Behavioral Health Pc 155 N Michigan Ave Suite 624 Chicago IL 60601-7511 Ph: (872) 395-8091 | Cira Center For Behavioral Health Pc 155 N Michigan Ave Suite 624 Chicago IL 60601-7511 Ph: (708) 269-4180 |
| NPI Number | 1902277395 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 04/11/2017 |
| Medicare PECOS PAC ID | 3870879190 |
|---|---|
| Medicare Enrollment ID | O20170420001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902277395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071.007895 (Illinois) | Primary |
| Provider Name | Colleen Cira |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346568714 PECOS PAC ID: 4183758154 Enrollment ID: I20100812000301 |
| Provider Name | Kathryn E Brandenborg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275942229 PECOS PAC ID: 8628355658 Enrollment ID: I20170501000927 |
| Provider Name | Samantha K Gehr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669834909 PECOS PAC ID: 5193094860 Enrollment ID: I20170712001325 |
| Provider Name | Anne K Rufa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134627003 PECOS PAC ID: 6305107038 Enrollment ID: I20180221000169 |
| Provider Name | Lexus Goings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699205617 PECOS PAC ID: 6507290558 Enrollment ID: I20220429001158 |
| Provider Name | Carlo D Izzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962078154 PECOS PAC ID: 1951789981 Enrollment ID: I20220603001409 |
| Provider Name | Allison G Greven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669126934 PECOS PAC ID: 0345614558 Enrollment ID: I20230329001226 |
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