DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PSYCH BREAK LLC

MEDICARE: PSYCH BREAK LLC
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
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1851996532
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCH BREAK LLC
Provider Business Mailing Address
First Line : 8 S MICHIGAN AVE STE 2100
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 2100
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3337
Country : US
Telephone Number : 312-659-0020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JASON LAHOOD
Credential : PSYD
Telephone Number : 312-659-0020
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

Similar Medicare Providers

1861885873 — MRS. KELLY ZIEMANN LCPC
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 920-659-8374
Practice Fax:
1972167203 — DR. RISA UMENO
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 312-392-1640
Practice Fax:
1154930592 — EMILY WITHAM M.S. CF-SLP
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 312-392-1640
Practice Fax:
1104437094 — SAMANTHA RAE LAROCCA MA CCC-SLP
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 312-392-1640
Practice Fax:
1275147613 — COLLEEN K WALSH CCC-SLP
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 419-340-5795
Practice Fax:
1003413907 — MARIE SAXON
Practice Location Address:
8 S MICHIGAN AVE STE 2100
CHICAGO, IL
60603-3337
Practice Phone: 312-392-1640
Practice Fax:

Directions to “PSYCH BREAK LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.