LOGAN SQUARE COUNSELING LLC
NPI 1386097186
Psychologist - Clinical in Chicago, IL

Active since July 15, 2016
2724 N KEDZIE AVE, CHICAGO, IL 60647(773) 245-3725(773) 453-7258 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2016, Jul 15, 2016 (2 updates tracked since 2016).

About Logan Square Counseling Llc NPPES

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

LOGAN SQUARE COUNSELING LLC (NPI 1386097186) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since July 2016. The organization lists Mark Thomas Sciarrino, President, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1386097186
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLOGAN SQUARE COUNSELING LLC
Location Address2724 N KEDZIE AVEChicago, IL 60647-1514
Mailing Address2724 N Kedzie AveChicago, IL 60647-1514 · (773) 245-3725 · Fax (773) 453-7258
Fax(773) 453-7258
Organization SubpartNo
Authorized OfficialMark Thomas SciarrinoPresident, Licensed Psychologist · (773) 245-3725
Enumeration DateJuly 15, 2016
Last NPPES UpdateAugust 15, 20162 updates tracked since enumeration
NPI 1386097186 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 · 071008195
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.

2724 N KEDZIE AVE, Chicago, IL 60647

Other Identifiers 1

Other1861763914Organization President And Sole Provider's Rendering 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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Psychologist (Clinical)
2724 N KEDZIE AVE
CHICAGO, IL 60647
Counselor (Professional)
2724 N KEDZIE AVE
CHICAGO, IL 60647
Psychologist (Clinical)
2724 N KEDZIE AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2724 N KEDZIE AVE
CHICAGO, IL 60647

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386097186, enumerated as an "organization" on July 15, 2016.

The provider is located at 2724 N KEDZIE AVE CHICAGO, IL 60647 and the phone number is (773) 245-3725.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.