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BLACK EXCELLENCE PSYCHOTHERAPY PLLC
NPI 1700539681
Clinic/Center - Adolescent and Children Mental Health in Lake Bluff, IL

Active since January 31, 2022
30047 N WAUKEGAN RD, LAKE BLUFF, IL 60044(718) 342-4986 Get Directions Write a Review

NPPES record last updated: October 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2022, Jan 31, 2022 (2 updates tracked since 2022).

About Black Excellence Psychotherapy Pllc NPPES

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

BLACK EXCELLENCE PSYCHOTHERAPY PLLC (NPI 1700539681) is a healthcare organization registered as an adolescent and children mental health in Lake Bluff, Illinois and active in the NPI registry since January 2022. The organization lists Fitzgerald Ajoku, Founder, as its authorized official.

NPPES Registry Identity

NPI1700539681
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameBLACK EXCELLENCE PSYCHOTHERAPY PLLC
Location Address30047 N WAUKEGAN RDLake Bluff, IL 60044-1023
Mailing Address30047 N Waukegan RdLake Bluff, IL 60044-1023
Phone(718) 342-4986
Organization SubpartNo
Authorized OfficialFitzgerald AjokuFounder · (914) 609-1183
Enumeration DateJanuary 31, 2022
Last NPPES UpdateOctober 16, 20222 updates tracked since enumeration
NPPES CertifiedOctober 16, 2022
✔ NPI 1700539681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
30047 N WAUKEGAN RD, Lake Bluff, IL 60044
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Other Providers at the Same Location NPPES

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

FITZGERALD AJOKU
Social Worker (Clinical)
30047 N WAUKEGAN RD
LAKE BLUFF, IL 60044
Lake County (914) 609-1183

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 Black Excellence Psychotherapy PLLC's NPI number?

The NPI number for Black Excellence Psychotherapy PLLC is 1700539681. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Black Excellence Psychotherapy PLLC located?

Black Excellence Psychotherapy PLLC is located at 30047 N Waukegan Rd, Lake Bluff, IL 60044. The listed phone number is (718) 342-4986.

What is Black Excellence Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Black Excellence Psychotherapy PLLC was last updated on October 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.