CENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT
NPI 1063179901
Psychologist in Chicago, IL

Active since November 28, 2021
2858 W DIVERSEY AVE, CHICAGO, IL 60647(312) 374-6621 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Psychological Well Being And Empowerment NPPES

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

CENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT (NPI 1063179901) is a healthcare organization registered as a psychologist in Chicago, Illinois and active in the NPI registry since November 2021. The organization lists Azadeh Fatemi, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1063179901
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT
Location Address2858 W DIVERSEY AVEChicago, IL 60647-1871
Mailing Address7649 W Rascher AveChicago, IL 60656-1736 · (573) 201-7742
Organization SubpartNo
Authorized OfficialAzadeh FatemiPsychologist · (573) 201-7742
Enumeration DateNovember 28, 2021
NPPES CertifiedNovember 28, 2021
NPI 1063179901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2858 W DIVERSEY AVE, Chicago, IL 60647

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Psychologist
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Clinic/Center (Adolescent and Children Mental Health)
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Counselor (Professional)
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Psychologist
2858 W DIVERSEY AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2858 W DIVERSEY AVE
CHICAGO, IL 60647

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 Center For Psychological Well Being And Empowerment's NPI number?

The NPI number for Center For Psychological Well Being And Empowerment is 1063179901. It was assigned to this organization in the NPPES registry on November 28, 2021.

Where is Center For Psychological Well Being And Empowerment located?

Center For Psychological Well Being And Empowerment is located at 2858 W Diversey Ave, Chicago, IL 60647. The listed phone number is (312) 374-6621.

What is Center For Psychological Well Being And Empowerment's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Center For Psychological Well Being And Empowerment was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.