MEDICARE: RHAPSODY BEHAVIORAL HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	104100000X	Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1740865088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHAPSODY BEHAVIORAL HEALTHCARE

Provider Business Mailing Address
First Line	:	PO BOX 16037
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-0001
Country	:	US
Telephone Number	:	773-610-5190
Fax Number	:

Provider Business Practice Location Address
First Line	:	4012 S INDIANA AVE UNIT 4N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-4778
Country	:	US
Telephone Number	:	773-610-5190
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. SOPHIA KIANA CARTER
Credential	:	PHD
Telephone Number	:	773-610-5190

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	03/17/2021

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Directions to “RHAPSODY BEHAVIORAL HEALTHCARE ” Practice Location

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