| Sankofa Psychological Services, Llc | |
|
2835 N Sheffield Ave 404 Chicago IL 60657-5081 | |
| (312) 659-0020 | |
| Not Available |
| Full Name | Sankofa Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2835 N Sheffield Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jason Edward Lahood (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3126590020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Psychological Services, Llc 999 W Wolfram St 505 Chicago IL 60657-5094 Ph: (312) 659-0020 | Sankofa Psychological Services, Llc 2835 N Sheffield Ave 404 Chicago IL 60657-5081 Ph: (312) 659-0020 |
| NPI Number | 1316242290 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 02/01/2011 |
| Medicare PECOS PAC ID | 7416138243 |
|---|---|
| Medicare Enrollment ID | O20110225000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316242290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.008046 (Illinois) | Primary |
| Provider Name | Jason Edward Lahood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710289590 PECOS PAC ID: 8325229156 Enrollment ID: I20110225000734 |
| Provider Name | Ndidi A Onyejiaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619111432 PECOS PAC ID: 4789801408 Enrollment ID: I20140804001343 |
| Provider Name | Mary Kathleen Pachan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518285394 PECOS PAC ID: 9133548589 Enrollment ID: I20201005000028 |
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