Healthcare Provider Details

I. General information

NPI: 1568143071
Provider Name (Legal Business Name): CALI LEE MARIE JOYCE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SKOKIE BLVD STE 270
NORTHBROOK IL
60062-4012
US

IV. Provider business mailing address

900 SKOKIE BLVD STE 270
NORTHBROOK IL
60062-4012
US

V. Phone/Fax

Practice location:
  • Phone: 847-933-9339
  • Fax:
Mailing address:
  • Phone: 847-933-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071022600
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13477
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: