Healthcare Provider Details
I. General information
NPI: 1902277247
Provider Name (Legal Business Name): JOHN P FRAMPTON, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2015
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5100 N RAVENSWOOD AVE SUITE 225
CHICAGO IL
60640-2713
US
IV. Provider business mailing address
5100 N RAVENSWOOD AVE SUITE 225
CHICAGO IL
60640-2713
US
V. Phone/Fax
- Phone: 773-343-7960
- Fax: 872-241-9338
- Phone: 773-343-7960
- Fax: 872-241-9338
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
FRAMPTON
Title or Position: PRESIDENT/CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 773-343-7960