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CRAWFORD AVENUE GROUP INC
NPI 1013409366
Psychologist - Clinical in Evanston, IL

Active since June 02, 2018
2530 CRAWFORD AVE STE 206, EVANSTON, IL 60201(847) 875-4411 Get Directions Write a Review

NPPES record last updated: June 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crawford Avenue Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAWFORD AVENUE GROUP INC (NPI 1013409366) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Evanston and lists Kelli Klinger, President, as its authorized official.

NPPES Registry Identity

NPI1013409366
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCRAWFORD AVENUE GROUP INC
Location Address2530 CRAWFORD AVE STE 206Evanston, IL 60201-4959
Mailing Address2530 Crawford Ave Ste 206Evanston, IL 60201-4959
Phone(847) 875-4411
Organization SubpartNo
Authorized OfficialKelli KlingerPresident · (847) 875-4411
Enumeration DateJune 2, 2018
✔ NPI 1013409366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007124
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149003065 (IL)
2530 CRAWFORD AVE STE 206, Evanston, IL 60201
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Secondary Practice Location 1

Location 12530 Crawford Ave Ste 212Evanston, IL 60201-4959 · Phone (847) 604-1945 · Fax (847) 733-1217

Other Identifiers 3

Other0000603083IL · Blue Cross Blue Shield Of Illinois
Other1619019080IL · Type 1-npi
Other1891819363IL · Type 1-npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crawford Avenue Group Inc's NPI number?

The NPI number for Crawford Avenue Group Inc is 1013409366. It was assigned to this organization in the NPPES registry on June 2, 2018.

Where is Crawford Avenue Group Inc located?

Crawford Avenue Group Inc is located at 2530 Crawford Ave Ste 206, Evanston, IL 60201. The listed phone number is (847) 875-4411.

What is Crawford Avenue Group Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Crawford Avenue Group Inc was last updated on June 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.