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PSYCHOLOGY CENTER P.C.
NPI 1396735361
Psychologist - Clinical in Chicago, IL

Active since October 21, 2005
10343 S WESTERN AVENUE, CHICAGO, IL 60643(773) 238-2828(708) 974-3845 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychology Center P.c. NPPES

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

PSYCHOLOGY CENTER P.C. (NPI 1396735361), doing business as Psychology Center Inc, is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2005. The organization lists James T Davenport, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1396735361
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGY CENTER P.C.
Location Address10343 S WESTERN AVENUEChicago, IL 60643-2410
Mailing Address10713 W Doric CirclePalos Hills, IL 60465-2220 · (773) 238-2828 · Fax (708) 974-3845
Phone(773) 238-2828
Fax(708) 974-3845
Organization SubpartNo
Authorized OfficialJames T DavenportOwner/provider · (708) 974-4274
Enumeration DateOctober 21, 2005
Last NPPES UpdateJanuary 28, 2015
✔ NPI 1396735361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071003666
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.
Also ListedPsychologistTaxonomy 103T00000X · License 060005211 (IL)
10343 S WESTERN AVENUE, Chicago, IL 60643
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Other Names 1

Former Legal Business NamePsychology Center Inc

Other Identifiers 3

Medicare UPINR18030
Medicaid345365834001IL
Medicare PINIL7074IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychology Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychology Center P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

James Davenport, PSYD
Clinical Psychologist
NPI 1881683969
10343 S WESTERN AVE THE PSYCHOLOGY CENTER INC
Chicago, IL 60643
(773) 238-2828
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychology Center P.C.'s NPI number?

The NPI number for Psychology Center P.C. is 1396735361. It was assigned to this organization in the NPPES registry on October 21, 2005. The provider was formerly known as Psychology Center Inc.

Where is Psychology Center P.C. located?

Psychology Center P.C. is located at 10343 S Western Avenue, Chicago, IL 60643. The listed phone number is (773) 238-2828.

What is Psychology Center P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Psychology Center P.C. enrolled in Medicare?

Yes. Psychology Center P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychology Center P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychology Center P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychology Center P.C. was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.