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

Active since October 04, 2017
2302 W NORTH AVE STE 1E, CHICAGO, IL 60647(312) 806-2140 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Birchwood Clinic, Llc NPPES

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

BIRCHWOOD CLINIC, LLC (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, LLC
Location Address2302 W NORTH AVE STE 1EChicago, IL 60647-9755
Mailing Address2302 W North Ave Ste 1eChicago, IL 60647-9755 · (312) 806-2140
Organization SubpartNo
Authorized OfficialSusan Marie BushPsychologist, Owner · (312) 806-2140
Enumeration DateOctober 4, 2017
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.

2302 W NORTH AVE STE 1E, 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 8

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

Social Worker
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Social Worker (Clinical)
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Counselor (Mental Health)
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Psychologist (Clinical)
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Counselor (Mental Health)
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Community/Behavioral Health
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Marriage & Family Therapist
2302 W NORTH AVE STE 1E
CHICAGO, IL 60647
Counselor
2302 W NORTH AVE STE 1E
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 Birchwood Clinic, LLC's NPI number?

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

Where is Birchwood Clinic, LLC located?

Birchwood Clinic, LLC is located at 2302 W North Ave Ste 1E, Chicago, IL 60647. The listed phone number is (312) 806-2140.

What is Birchwood Clinic, LLC'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, LLC was last updated on October 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.