JOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC - NPI 1629649157

Q: What is John Hardie Phd Clinical Psychologist LLC's specialty?

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

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About John Hardie Phd Clinical Psychologist Llc NPPES

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

JOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC (NPI 1629649157) is a healthcare organization registered as a clinical in Northbrook, Illinois and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Chicago and lists Yesenia Servin, Credentialing Mananger, as its authorized official.

NPPES Registry Identity

NPI1629649157

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC

Location Address85 REVERE DR STE GNorthbrook, IL 60062-8001

Mailing Address85 Revere Dr Ste GNorthbrook, IL 60062-8001 · (847) 559-9343 · Fax (773) 913-2395

Phone(847) 559-9343

Fax(773) 913-2395

Organization SubpartNo

Authorized OfficialYesenia ServinCredentialing Mananger · (708) 979-9082

Enumeration DateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1629649157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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 ListedPsychologist · Health ServiceTaxonomy 103TH0100X

85 REVERE DR STE G, Northbrook, IL 60062

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Secondary Practice Location 1

Location 12800 N Sheridan Rd Ste 108Chicago, IL 60657-6183 · Phone (847) 559-9343

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 3

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

KARLA FROST WILKINS M.A., CCC-SLP

Speech-Language Pathologist

85 REVERE DR STE G
NORTHBROOK, IL 60062

Cook County (847) 498-2003

DR. JANET K WHITE PSYD

Psychologist (Clinical)

85 REVERE DR STE G
NORTHBROOK, IL 60062

Cook County (847) 772-7396

DR. ELIANA WOOL PSYD

Psychologist

85 REVERE DR STE G
NORTHBROOK, IL 60062

Cook County (312) 722-7436

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 John Hardie Phd Clinical Psychologist LLC's NPI number?

The NPI number for John Hardie Phd Clinical Psychologist LLC is 1629649157. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is John Hardie Phd Clinical Psychologist LLC located?

John Hardie Phd Clinical Psychologist LLC is located at 85 Revere Dr Ste G, Northbrook, IL 60062. The listed phone number is (847) 559-9343.

What is John Hardie Phd Clinical Psychologist 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 John Hardie Phd Clinical Psychologist LLC was last updated on July 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.