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CHARLES C. ANDERSON ED.D REG PSY
NPI 1194963082
Clinic/Center - Adult Mental Health in Chicago, IL

Active since January 30, 2009
2030 N MAGNOLIA AVE, CHICAGO, IL 60614(847) 398-1717(773) 348-5271 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles C. Anderson Ed.d Reg Psy NPPES

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

CHARLES C. ANDERSON ED.D REG PSY (NPI 1194963082) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since January 2009. The organization lists Charles C. Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1194963082
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCHARLES C. ANDERSON ED.D REG PSY
Location Address2030 N MAGNOLIA AVEChicago, IL 60614-4010
Mailing Address3411 N Kennicott Ave, BArlington Heights, IL 60004-7813 · (847) 398-1717 · Fax (773) 348-5271
Phone(847) 398-1717
Fax(773) 348-5271
Organization SubpartNo
Authorized OfficialCharles C. AndersonPresident · (847) 398-1717
Enumeration DateJanuary 30, 2009
✔ NPI 1194963082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in IL · 071.002741
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2030 N MAGNOLIA AVE, Chicago, IL 60614
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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 Charles C. Anderson Ed.D Reg Psy's NPI number?

The NPI number for Charles C. Anderson Ed.D Reg Psy is 1194963082. It was assigned to this organization in the NPPES registry on January 30, 2009.

Where is Charles C. Anderson Ed.D Reg Psy located?

Charles C. Anderson Ed.D Reg Psy is located at 2030 N Magnolia Ave, Chicago, IL 60614. The listed phone number is (847) 398-1717.

What is Charles C. Anderson Ed.D Reg Psy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Charles C. Anderson Ed.D Reg Psy was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.