Healthcare Provider Details
I. General information
NPI: 1437032356
Provider Name (Legal Business Name): NORTHWEST PSYCHOLOGICAL SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 S EVERGREEN AVE STE 200
ARLINGTON HEIGHTS IL
60005-7800
US
IV. Provider business mailing address
21 S EVERGREEN AVE STE 200
ARLINGTON HEIGHTS IL
60005-7800
US
V. Phone/Fax
- Phone: 847-474-1117
- Fax:
- Phone: 847-474-1117
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMIE
ANN
MCKAY
Title or Position: PRESIDENT AND DIRECTOR
Credential: PSYD
Phone: 847-474-1117