WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC
NPI 1700257581
Psychologist - Clinical in Evanston, IL

Q: What is Willoughby Center For Behavioral Health, LLC's specialty?

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

Active since October 19, 2015

1603 ORRINGTON AVE., STE. 600, EVANSTON, IL 60201(224) 585-3312(224) 585-3619 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2024, Dec 1, 2015 (2 updates tracked since 2015).

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About Willoughby Center For Behavioral Health, Llc NPPES

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

WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC (NPI 1700257581) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Park Ridge and lists Cindi-marie Willoughby, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1700257581

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC

Location Address1603 ORRINGTON AVE., STE. 600Evanston, IL 60201

Mailing Address1603 Orrington Ave Ste 600Evanston, IL 60201-3860 · (224) 585-3312 · Fax (224) 585-3619

Phone(224) 585-3312

Fax(224) 585-3619

Organization SubpartNo

Authorized OfficialCindi-marie WilloughbyClinical Psychologist · (773) 814-1445

Enumeration DateOctober 19, 2015

Last NPPES UpdateApril 15, 20242 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1700257581 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 · 071.008303

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.

1603 ORRINGTON AVE., Evanston, IL 60201

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Secondary Practice Location 1

Location 11440 Renaissance Dr Ste 125Park Ridge, IL 60068-1414 · Phone (224) 585-3312 · Fax (224) 585-3619

Other Identifiers 2

Medicaid558816518-001IL

Other1487929345IL · Npi

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

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 Willoughby Center For Behavioral Health, LLC's NPI number?

The NPI number for Willoughby Center For Behavioral Health, LLC is 1700257581. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Willoughby Center For Behavioral Health, LLC located?

Willoughby Center For Behavioral Health, LLC is located at 1603 Orrington Ave. Ste. 600, Evanston, IL 60201. The listed phone number is (224) 585-3312.

What is Willoughby Center For Behavioral Health, 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 Willoughby Center For Behavioral Health, LLC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.