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PRIVATE PRACTICE
NPI 1811374309
Clinic/Center - Adult Mental Health in Chicago, IL

Active since May 04, 2015
30 N MICHIGAN AVE, SUITE 1002, CHICAGO, IL 60602(786) 269-6864 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Private Practice NPPES

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

PRIVATE PRACTICE (NPI 1811374309) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since May 2015. The organization lists Elizabeth Jane Reinecke, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1811374309
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePRIVATE PRACTICE
Location Address30 N MICHIGAN AVE, SUITE 1002Chicago, IL 60602-3402
Mailing Address1524 W Winnemac Ave, Apt. 7Chicago, IL 60640-2850 · (786) 269-6864
Phone(786) 269-6864
Organization SubpartNo
Authorized OfficialElizabeth Jane ReineckePsychotherapist · (786) 269-6864
Enumeration DateMay 4, 2015
✔ NPI 1811374309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in IL · 149015655
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
30 N MICHIGAN AVE, Chicago, IL 60602
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Other Providers at the Same Location NPPES 20

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

TIMOTHY M. CROWE DMD PC
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602
Cook County (312) 782-2844
AYESHA SIDDIQI M.D.
Allergy & Immunology
30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602
Cook County (312) 236-3642
SUSAN LYNN PELTON PH.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602
Cook County (312) 909-9699
MS. BETTY B. SMITH LCSW, BCD
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602
Cook County (312) 201-1301
DR. KEVIN D DOW D.D.S
Dentist (General Practice)
30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602
Cook County (312) 372-4845
MARYSUE MASTEY LCPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602
Cook County (847) 302-8647
DR. NADIA PERSHAD PSY.D.
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602
Cook County (773) 495-8905
MRS. ERINN WILLIAMS LPC
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602
Cook County (312) 279-9981

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 Private Practice's NPI number?

The NPI number for Private Practice is 1811374309. It was assigned to this organization in the NPPES registry on May 4, 2015.

Where is Private Practice located?

Private Practice is located at 30 N Michigan Ave Suite 1002, Chicago, IL 60602. The listed phone number is (786) 269-6864.

What is Private Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Private Practice was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.