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NPI Code Detail

MEDICARE: NK PSYCHOLOGICAL SERVICES INC

MEDICARE: NK PSYCHOLOGICAL SERVICES INC
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 : 1891528956
Entity Type Code : Organization
Provider Name (Legal Business Name) : NK PSYCHOLOGICAL SERVICES INC
Provider Business Mailing Address
First Line : 329 W 18TH ST STE 820
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1120
Country : US
Telephone Number : 312-847-6325
Fax Number :
Provider Business Practice Location Address
First Line : 329 W 18TH ST STE 820
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1120
Country : US
Telephone Number : 312-847-6325
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. EMILY NEWMAN
Credential : PSY.D
Telephone Number : 312-825-9822
Provider Enumeration Date : 08/23/2024
Last Update Date : 08/12/2025

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