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RADICAL HEALING PSYCHOTHERAPY PLLC
NPI 1932932969
Clinic/Center - Adult Mental Health in Chicago, IL

Active since August 23, 2024
1514 W PRATT BLVD APT 3B, CHICAGO, IL 60626(813) 943-5255 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Radical Healing Psychotherapy Pllc NPPES

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

RADICAL HEALING PSYCHOTHERAPY PLLC (NPI 1932932969) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since August 2024. The organization lists Frederick Cary Shepard, Member, as its authorized official.

NPPES Registry Identity

NPI1932932969
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameRADICAL HEALING PSYCHOTHERAPY PLLC
Location Address1514 W PRATT BLVD APT 3BChicago, IL 60626-4234
Mailing Address1514 W Pratt Blvd Apt 3bChicago, IL 60626-4234 · (813) 943-5255
Phone(813) 943-5255
Organization SubpartNo
Authorized OfficialFrederick Cary ShepardMember · (813) 943-5255
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1932932969 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
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1514 W PRATT BLVD APT 3B, Chicago, IL 60626
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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 Radical Healing Psychotherapy PLLC's NPI number?

The NPI number for Radical Healing Psychotherapy PLLC is 1932932969. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Radical Healing Psychotherapy PLLC located?

Radical Healing Psychotherapy PLLC is located at 1514 W Pratt Blvd Apt 3B, Chicago, IL 60626. The listed phone number is (813) 943-5255.

What is Radical Healing Psychotherapy PLLC'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 Radical Healing Psychotherapy PLLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.