MEDICARE: RENEWED RHYTHMS PSYCHOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1588411375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED RHYTHMS PSYCHOLOGY PLLC

Provider Business Mailing Address
First Line	:	53 W JACKSON BLVD STE 1626
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3740
Country	:	US
Telephone Number	:	312-248-3187
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 W JACKSON BLVD STE 1626
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3740
Country	:	US
Telephone Number	:	312-248-3187
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CATHERINE MULLIS
Credential	:	PSY.D.
Telephone Number	:	312-248-3187

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	05/01/2024

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