Radical Authenticity & Wellness Psychotherapy Group Llc - Mental Health Clinic in Chicago, IL

Radical Authenticity & Wellness Psychotherapy Group Llc is a mental health clinic (Psychologist) in Chicago, Illinois. The current practice location for Radical Authenticity & Wellness Psychotherapy Group Llc is 1554 W Hollywood Ave, Chicago, Illinois. For appointments, you can reach them via phone at (434) 284-3806. The mailing address for Radical Authenticity & Wellness Psychotherapy Group Llc is 5754 N Winthrop Ave Apt 3, Chicago, Illinois and phone number is (434) 284-3806.

Radical Authenticity & Wellness Psychotherapy Group Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1538875687. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (434) 284-3806.

Contact Information

Radical Authenticity & Wellness Psychotherapy Group Llc
1554 W Hollywood Ave
Chicago
IL 60660-4399
(434) 284-3806
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameRadical Authenticity & Wellness Psychotherapy Group Llc
SpecialityPsychologist
Location1554 W Hollywood Ave, Chicago, Illinois
Authorized Official Name and PositionAlexander K Tatum (PRESIDENT)
Authorized Official Contact4342843806
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Radical Authenticity & Wellness Psychotherapy Group Llc
5754 N Winthrop Ave Apt 3
Chicago
IL 60660-5148

Ph: (434) 284-3806
Radical Authenticity & Wellness Psychotherapy Group Llc
1554 W Hollywood Ave
Chicago
IL 60660-4399

Ph: (434) 284-3806

NPI Details:

NPI Number1538875687
Provider Enumeration Date01/23/2023
Last Update Date01/23/2023
Certification Date01/23/2023

Medical Identifiers

Medical identifiers for Radical Authenticity & Wellness Psychotherapy Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538875687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
103TC1900XPsychologist - Counseling (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.