BLACK BEAR ACADEMY - NPI 1518246255 - Psychologist in Chicago, IL

Q: What is Clinical Assist, Ltd.'s NPI number?

The NPI number for Clinical Assist, Ltd. is 1518246255. It was assigned to this organization in the NPPES registry on August 11, 2011. The provider is doing business as Black Bear Academy.

Q: What is Clinical Assist, Ltd.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

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About Black Bear Academy NPPES

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

BLACK BEAR ACADEMY (NPI 1518246255) is a healthcare organization registered as a clinical child & adolescent in Chicago, Illinois and active in the NPI registry since August 2011. The organization lists Lori G Tall, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518246255

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameCLINICAL ASSIST, LTD.

Location Address1801 W BYRON STChicago, IL 60613-2729

Mailing Address1801 W Byron StChicago, IL 60613-2729 · (773) 244-0700 · Fax (773) 244-0200

Phone(773) 244-0700

Fax(773) 244-0200

Organization SubpartNo

Authorized OfficialLori G TallExecutive Director · (312) 285-2323

Enumeration DateAugust 11, 2011

Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1518246255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 060006146 (IL)

1801 W BYRON ST, Chicago, IL 60613

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Other Names 1

Doing Business AsBlack Bear Academy

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

Other Providers at the Same Location NPPES 17

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

OLIVIA GREEN

Speech-Language Pathologist