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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BIRCHWOOD CLINIC, PLLC
NPI 1104336114
Psychologist - Clinical in Chicago, IL

Active since October 04, 2017
1950 N DAMEN AVE, CHICAGO, IL 60647(312) 806-2140 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Birchwood Clinic, Pllc NPPES

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

BIRCHWOOD CLINIC, PLLC (NPI 1104336114) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2017. The organization lists Susan Marie Bush, Psychologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1104336114
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBIRCHWOOD CLINIC, PLLC
Location Address1950 N DAMEN AVEChicago, IL 60647-4565
Mailing Address1950 N Damen AveChicago, IL 60647-4565 · (312) 806-2140
Phone(312) 806-2140
Organization SubpartNo
Authorized OfficialSusan Marie BushPsychologist, Owner · (312) 806-2140
Enumeration DateOctober 4, 2017
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1104336114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071009612
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.
1950 N DAMEN AVE, Chicago, IL 60647
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Other Providers at the Same Location NPPES 12

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

DR. LIANNA MCDANIEL PSY.D.
Counselor (Mental Health)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (312) 806-2140
DR. REBECCA ANNE PARRY PSYD
Psychologist
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (773) 598-9487
MISS CAROLYN CELINE SIMON LPC
Counselor (Mental Health)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (312) 806-2140
ALICIA SHERLY LCSW
Social Worker (Clinical)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (312) 806-2140
MORGAN ALEXANDRA VAN LEER
Psychologist (Clinical)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (708) 303-8688
MARY TROLIA KIRSCHNER PSYD
Psychologist
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (312) 806-2140
NESREEN JABER PHD
Psychologist (Counseling)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (312) 806-2140
THE CHICAGO KINDNESS PROJECT, LLC
Psychologist (Clinical)
1950 N DAMEN AVE
CHICAGO, IL 60647
Cook County (708) 762-3531

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 Birchwood Clinic, PLLC's NPI number?

The NPI number for Birchwood Clinic, PLLC is 1104336114. It was assigned to this organization in the NPPES registry on October 4, 2017.

Where is Birchwood Clinic, PLLC located?

Birchwood Clinic, PLLC is located at 1950 N Damen Ave, Chicago, IL 60647. The listed phone number is (312) 806-2140.

What is Birchwood Clinic, PLLC'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 Birchwood Clinic, PLLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.