MB CLINICAL PSYCHOLOGY & CONSULTING, LLC
NPI 1700499209
Psychologist - Clinical in Chicago, IL

Q: What is Mb Clinical Psychology & Consulting, LLC's specialty?

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

Active since August 25, 2020

4633 N WESTERN AVE STE 205, CHICAGO, IL 60625(312) 476-9588 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mb Clinical Psychology & Consulting, Llc NPPES

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

MB CLINICAL PSYCHOLOGY & CONSULTING, LLC (NPI 1700499209) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Schaumburg and lists Mirna Ballestas, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1700499209

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMB CLINICAL PSYCHOLOGY & CONSULTING, LLC

Location Address4633 N WESTERN AVE STE 205Chicago, IL 60625-2087

Mailing Address5548 N Virginia AveChicago, IL 60625-3918 · (773) 610-8039

Phone(312) 476-9588

Organization SubpartNo

Authorized OfficialMirna BallestasClinical Psychologist · (312) 476-9588

Enumeration DateAugust 25, 2020

NPPES CertifiedAugust 25, 2020

✔ NPI 1700499209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · FamilyTaxonomy 103TF0000X

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

4633 N WESTERN AVE STE 205, Chicago, IL 60625

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Secondary Practice Location 1

Location 1955 N Plum Grove Rd Ste CSchaumburg, IL 60173-4784 · Phone (847) 884-0210

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 2

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

FREDELYN CALLA LCPC, ATR

Counselor (Professional)

4633 N WESTERN AVE STE 205
CHICAGO, IL 60625

Cook County (312) 488-9834

DR. MIRNA E BALLESTAS PSY.D.

Psychologist (Clinical)

4633 N WESTERN AVE STE 205
CHICAGO, IL 60625

Cook County (312) 476-9588

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 Mb Clinical Psychology & Consulting, LLC's NPI number?

The NPI number for Mb Clinical Psychology & Consulting, LLC is 1700499209. It was assigned to this organization in the NPPES registry on August 25, 2020.

Where is Mb Clinical Psychology & Consulting, LLC located?

Mb Clinical Psychology & Consulting, LLC is located at 4633 N Western Ave Ste 205, Chicago, IL 60625. The listed phone number is (312) 476-9588.

What is Mb Clinical Psychology & Consulting, 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 Mb Clinical Psychology & Consulting, LLC was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.