| Depression & Anxiety Specialty Clinic Of Chicago | |
|
3047 N Lincoln Ave Unit 400 Chicago IL 60657-4274 | |
| (773) 494-5505 | |
| (312) 867-1242 |
| Full Name | Depression & Anxiety Specialty Clinic Of Chicago |
|---|---|
| Speciality | Psychologist |
| Location | 3047 N Lincoln Ave Unit 400, Chicago, Illinois |
| Authorized Official Name and Position | Rodney Benson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7734945505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Depression & Anxiety Specialty Clinic Of Chicago 3047 N Lincoln Ave Unit 400 Chicago IL 60657-4274 Ph: (773) 494-5505 | Depression & Anxiety Specialty Clinic Of Chicago 3047 N Lincoln Ave Unit 400 Chicago IL 60657-4274 Ph: (773) 494-5505 |
| NPI Number | 1396992616 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 1052435419 |
|---|---|
| Medicare Enrollment ID | O20100908000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006640 (Illinois) | Primary |
| Provider Name | M Joann Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932325701 PECOS PAC ID: 1456420009 Enrollment ID: I20080521000901 |
| Provider Name | Katherine Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932347762 PECOS PAC ID: 4486710902 Enrollment ID: I20090309000524 |
| Provider Name | Jena H Stallings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144521790 PECOS PAC ID: 9931385101 Enrollment ID: I20110524000381 |
| Provider Name | Kerry K Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407198492 PECOS PAC ID: 1658508957 Enrollment ID: I20131212000023 |
| Provider Name | Chelsea Ragsdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689079543 PECOS PAC ID: 1153634324 Enrollment ID: I20150716001772 |
| Provider Name | Caroline Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457734287 PECOS PAC ID: 2163712837 Enrollment ID: I20160608001812 |
| Provider Name | Zinal Agnihotri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801254917 PECOS PAC ID: 9133404510 Enrollment ID: I20170327002487 |
| Provider Name | Kyla Christina Kachman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891232328 PECOS PAC ID: 7113283086 Enrollment ID: I20171108003545 |
| Provider Name | Elizabeth Dahll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912414814 PECOS PAC ID: 9032545165 Enrollment ID: I20200207000970 |
| Provider Name | Sophia R. Deldonno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770172108 PECOS PAC ID: 2062828528 Enrollment ID: I20210308001313 |
| Provider Name | Kimberly Tiscia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497343123 PECOS PAC ID: 8123429206 Enrollment ID: I20210628000167 |
| Provider Name | Ellen Grenen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093341513 PECOS PAC ID: 1951790260 Enrollment ID: I20211108001136 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669129599 PECOS PAC ID: 9739576711 Enrollment ID: I20220421000300 |
| Provider Name | Adriana Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760046270 PECOS PAC ID: 5890130280 Enrollment ID: I20240226000451 |
| Provider Name | Shannon Konecny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659623866 PECOS PAC ID: 7911343298 Enrollment ID: I20240308001216 |
| Provider Name | Cassandra Mcellen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881253979 PECOS PAC ID: 3375989338 Enrollment ID: I20240312003979 |
| Provider Name | Anne Schrayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235900556 PECOS PAC ID: 1658718994 Enrollment ID: I20240322001785 |
| Provider Name | Anna Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053980706 PECOS PAC ID: 4183060551 Enrollment ID: I20240611003146 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |